Organization
APPALACHIAN DIAGNOSTIC IMAGING, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL J PETROZZO M.D. (PRESIDENT)
(276) 597-7333
Entity
Organization
Contact information
Practice address
RT 5 BOX 20, STATE ROUTE 83, GRUNDY, VA 24614
(276) 935-1136
Mailing address
PO BOX 1065, GRUNDY, VA 24614-1065
(276) 597-7333
(276) 597-7303
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101237174
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101029231
—
VA
Enumeration date
06/26/2006
Last updated
07/31/2007
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