Organization
EVANSVILLE RADIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE HOAGLAND MD (PRESIDENT)
(812) 422-3254
Entity
Organization
Contact information
Practice address
350 W COLUMBIA ST, SUITE 420, EVANSVILLE, IN 47710-1782
(812) 422-3254
(812) 426-6388
Mailing address
350 W COLUMBIA ST, SUITE 420, EVANSVILLE, IN 47710-1782
(812) 422-3254
(812) 426-6388
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001891782983
—
IL
05
—
100282640A
—
IN
05
—
65903163
—
KY
Enumeration date
10/04/2005
Last updated
07/09/2024
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