Organization
RIVER VALLEY IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A. BOTSFORD M.D. (PRESIDENT)
(812) 537-8105
Entity
Organization
Contact information
Practice address
600 WILSON CREEK RD, RADIOLOGY DEPARTMENT, LAWRENCEBURG, IN 47025-2751
(812) 537-8105
(812) 537-3240
Mailing address
7800 E KEMPER RD, SUITE 150, CINCINNATI, OH 45249-1664
(513) 530-9200
(513) 530-0555
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01044388A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200105380
—
IN
05
—
2611696
—
OH
Enumeration date
07/10/2006
Last updated
03/17/2014
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