Organization
VERDE VALLEY SEDONA ADVANCED IMAGING DIAGNOSTICS LLC
Active
Other names
Advanced Imaging Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C MOYER (MANAGER)
(928) 778-1251
Entity
Organization
Contact information
Practice address
115 S CANDY LN, BLDG. A, COTTONWOOD, AZ 86326-4105
(928) 649-9999
(928) 649-0058
Mailing address
47 N FRENCH DR, PRESCOTT, AZ 86303-6247
(928) 778-1251
(928) 778-7834
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
OTC2772
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
937071
—
AZ
Enumeration date
12/18/2006
Last updated
10/31/2007
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