Organization
GREATOR MISSOURI IMAGING ASSOCIATES LLC
Active
Other names
Inspire Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
LETICIA BEACHY (DIRECTOR OF CREDENTIALING)
(816) 844-7885
Entity
Organization
Contact information
Practice address
1775 THOMPSON RD, COOS BAY, OR 97420-2125
(541) 269-8050
Mailing address
PO BOX 343, REEDSPORT, OR 97467-0343
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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