Organization
SCENIC MANAGED SERVICES, INC.
Active
Other names
SMMC Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PORTACCI (PRESIDENT)
(615) 465-7000
Entity
Organization
Contact information
Practice address
1601 W 11TH PL, BIG SPRING, TX 79720-4114
(618) 798-3000
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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