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Organization

PROSCAN RADIOLOGY, LLC

Active
Other names
Imaging Center Maryland
Organization subpart
No

Provider details

NPI number
Authorized official
RUTH N WALLACE (CFO)
(513) 924-5183
Entity
Organization

Contact information

Practice address
8827 CENTRE PARK DR, COLUMBIA, MD 21045-2156
(410) 772-3232
Mailing address
8827 CENTRE PARK DR, COLUMBIA, MD 21045-2156
(410) 772-3232

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
12/27/2006
Last updated
08/22/2020
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