Organization
ERNST RADIOLOGY CLINIC, INC
Active
Parent organization
ERNST RADIOLOGY CLINIC, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ERNST RADIOLOGY CLINIC, INC
Authorized official
DR. MATTHEW W STADNYK MD (PRESIDENT)
(314) 308-1700
Entity
Organization
Contact information
Practice address
1 GOOD SAMARITAN WAY, MOUNT VERNON, IL 62864-2402
(618) 242-4600
Mailing address
12255 DE PAUL DR STE 737, BRIDGETON, MO 63044-2530
(314) 853-0865
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
03/25/2022
Last updated
04/28/2022
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