Organization
PCO PC
Active
Organization
PCO PC
Active
Other names
PCO Radiology PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALIX VINCENT MD (AO)
(949) 480-9698
Entity
Organization
Contact information
Practice address
7785 N STATE ST, LOWVILLE, NY 13367-1229
(800) 858-5876
Mailing address
4040 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-8350
(800) 858-5876
(951) 680-1989
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
11/19/2019
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