Organization
BRIDGETON IMAGING, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL KYLE BURTNETT (SVP OF OUTPATIENT SERVICES, TENET)
(469) 893-2153
Entity
Organization
Contact information
Practice address
12121 SAINT CHARLES ROCK RD, BRIDGETON, MO 63044-2602
(314) 291-5050
(314) 291-8209
Mailing address
12121 SAINT CHARLES ROCK RD, BRIDGETON, MO 63044-2602
(314) 291-5050
(314) 291-8209
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
01/06/2011
Last updated
05/26/2016
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