Organization
KIDS' IMAGING IN THE DESERT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IAN CASSELL M.D. (MANAGING PARTNER)
(602) 546-1207
Entity
Organization
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 546-1207
(602) 546-1264
Mailing address
1919 E THOMAS RD, STE. A-1245, PHOENIX, AZ 85016-7710
(602) 546-1207
(602) 546-1264
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36270237
—
NM
05
—
892423
—
AZ
Enumeration date
11/02/2005
Last updated
08/22/2020
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