Organization
RURAL DIAGNOSTIC RADIOLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY A CHRISTENSEN M.D. (OWNER)
(641) 856-5974
Entity
Organization
Contact information
Practice address
1 SAINT JOSEPH DR, CENTERVILLE, IA 52544-9017
(641) 437-4111
Mailing address
PO BOX 609, SHELTON, NE 68876-0609
(308) 647-4900
(308) 647-5378
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0310656
—
IA
Enumeration date
09/25/2006
Last updated
08/22/2020
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