Organization
EASTERN RADIOLOGICAL ASSOCIATES PC
Active
Other names
Yellowstone Vein Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA JEWELL MASIN CHC (PRACTICE MANAGER)
(406) 237-5491
Entity
Organization
Contact information
Practice address
2900 12TH AVE N, 2E, BILLINGS, MT 59101-7506
(406) 237-5862
(406) 238-6068
Mailing address
2527 CRANBERRY HWY, WAREHAM, MA 02571-1046
(800) 841-5200
(508) 273-1241
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0203X
Therapeutic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105737500
—
WY
Enumeration date
07/08/2006
Last updated
05/06/2015
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