Organization
MOHAVE DESERT RADIOLOGY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM KELLEY JR. MD (PRESIDENT)
(702) 798-3008
Entity
Organization
Contact information
Practice address
4825 HWY 95 STE 5, FORT MOHAVE, AZ 86426-8315
(702) 798-3008
Mailing address
PO BOX 591, COLUMBUS, GA 31902-0500
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
11/20/2008
Last updated
11/20/2008
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