Organization
ELITE VIEW IMAGING LLC
Active
Other names
Elite View Starolup Holdings
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN SCOTT BROUSSARD (PRESIDENT)
(337) 349-4562
Entity
Organization
Contact information
Practice address
1110 E MISSOURI AVE, SUITE 140, PHOENIX, AZ 85014-2707
(602) 274-4674
(602) 274-6060
Mailing address
PO BOX 857, COPPELL, TX 75019-0857
(337) 886-0883
(337) 886-1212
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
OTC5077
AZ
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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