Organization
SADI
Active
Other names
Marianna Open MRI
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C TOMBERLIN MD (OWNER)
(850) 526-2496
Entity
Organization
Contact information
Practice address
3015 JEFFERSON ST, SUITE E, MARIANNA, FL 32446-2339
(850) 526-2496
(850) 526-3853
Mailing address
3015 JEFFERSON ST, SUITE E, MARIANNA, FL 32446-2339
(850) 526-2496
(850) 526-3853
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047944606
—
FL
Enumeration date
07/08/2013
Last updated
05/26/2016
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