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Organization

ADVANCED GENERAL RADIOLOGY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RYAN DOUGLAS HALL MD (OWNER)
(316) 283-2700
Entity
Organization

Contact information

Practice address
1715 MEDICAL PARKWAY, SUITE 200, NEWTON, KS 67114-9042
(316) 281-3700
Mailing address
PO BOX 388, NEWTON, KS 67114-0388

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2085R0204X
Vascular & Interventional Radiology Physician

Other

Enumeration date
12/04/2014
Last updated
11/04/2022
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