Organization
KIDS' IMAGING IN THE DESERT, PLLC
Active
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
Update your record
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