Organization
ANCILLARY MEDICAL CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY ROB KIRK (MEMBER)
(330) 491-1490
Entity
Organization
Contact information
Practice address
303 S NAPPANEE ST, ELKHART, IN 46514-2066
(574) 296-3200
(574) 296-3936
Mailing address
4197 FULTON DR NW, STE C, CANTON, OH 44718-2819
(330) 491-1490
(330) 491-1466
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
—
—
Other
Enumeration date
06/22/2005
Last updated
04/20/2008
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