Organization
CONCORD IMAGING AT THE QUARRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY N WIERSIG MD (PRESIDENT)
(210) 572-2222
Entity
Organization
Contact information
Practice address
423 TREELINE PARK, SUITE 100, SAN ANTONIO, TX 78209-1997
(210) 572-2222
Mailing address
PO BOX 1907, GREENVILLE, TX 75403-1907
(800) 945-2455
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
07/03/2008
Last updated
07/30/2008
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