Organization
PHOENIX DIAGNOSTIC IMAGING INC
Active
Other names
Phoenix Diagnostic Imaging Fountains
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL J SCHAEFER (COO)
(770) 300-0101
Entity
Organization
Contact information
Practice address
5620 W THUNDERBIRD RD, SUITE A, GLENDALE, AZ 85306-4636
(602) 863-9729
(602) 978-5940
Mailing address
PO BOX 52527, PHOENIX, AZ 85072-2527
(480) 545-0113
(480) 545-4267
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00156014
RAILROAD MEDICARE
AZ
Enumeration date
12/12/2005
Last updated
07/27/2010
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