Organization
MIDWEST RADIOLOGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE SUMMERS (MANAGER)
(314) 821-5600
Entity
Organization
Contact information
Practice address
11133 DUNN RD, RADIOLOGY DEPT, SAINT LOUIS, MO 63136-6119
(314) 355-2300
(314) 821-2180
Mailing address
55 WESTPORT PLZ, SUITE 300, SAINT LOUIS, MO 63146-3109
(314) 548-4772
(770) 666-9118
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2006009466
MO
Other
Enumeration date
05/27/2006
Last updated
12/17/2008
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