Organization
NRG-PARKLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA SUZANN CAMPBELL (BILLING MANAGER)
(573) 634-7155
Entity
Organization
Contact information
Practice address
1101 W LIBERTY ST, FARMINGTON, MO 63640-1921
(573) 756-6451
(573) 634-3349
Mailing address
1001 SOUTHWEST BLVD STE C, JEFFERSON CITY, MO 65109-2501
(573) 634-7155
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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