Organization
TRI COUNTY OPEN MRI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY DUKE WESTERFIELD M.D. (PRESIDENT)
(270) 866-4141
Entity
Organization
Contact information
Practice address
236 JOE PETTY RD, RUSSELL SPRINGS, KY 42642
(270) 866-9799
Mailing address
236 DR JOE PETTY ROAD, RUSSELL SPRINGS, KY 42642
(270) 866-6979
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
14879
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65941619
—
KY
Enumeration date
01/10/2007
Last updated
02/10/2012
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