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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