Organization
PELLA IMAGING CONSULTANTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE F HENRY MD (CEO)
(641) 621-2347
Entity
Organization
Contact information
Practice address
404 JEFFERSON ST, PELLA, IA 50219-1257
(641) 621-2347
(641) 628-7241
Mailing address
166 4TH ST E, SAINT PAUL, MN 55101-1421
(651) 292-2000
(651) 292-2178
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598921074
—
IA
Enumeration date
08/04/2008
Last updated
06/09/2010
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