Organization
PHI HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID W. TAYCE (MANAGER)
(214) 244-9820
Entity
Organization
Contact information
Practice address
2405 E GRAND AVE, SUITE D, BOX 136, LARAMIE, WY 82070-5206
(214) 244-9820
Mailing address
2405 E GRAND AVE, SUITE D, BOX 136, LARAMIE, WY 82070-5206
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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