Organization
CRESTVIEW OPEN MRI INC
Active
Organization
CRESTVIEW OPEN MRI INC
Active
Other names
CRESTVIEW OPEN MRI
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN TOMBERLIN M.D. (MEDICAL DIRECTOR)
(334) 684-7156
Entity
Organization
Contact information
Practice address
194 E REDSTONE AVE, SUITE A, CRESTVIEW, FL 32539-5348
(850) 689-6705
(850) 689-6709
Mailing address
PO BOX 23697, JACKSON, MS 39225-3697
(850) 689-6705
(850) 689-6709
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
10/21/2010
Last updated
11/17/2015
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