Organization
HALIFAX RADIOLOGICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELMER SAN PEDRO M.D. (PRESIDENT)
(434) 517-3686
Entity
Organization
Contact information
Practice address
2204 WILBORN AVE, RADIOLOGY DEPARTMENT, SOUTH BOSTON, VA 24592-1645
(434) 517-3187
(434) 517-3686
Mailing address
2204 WILBORN AVE, RADIOLOGY DEPARTMENT, SOUTH BOSTON, VA 24592-1645
(434) 517-3187
(434) 517-3686
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101027902
VA
Other
Enumeration date
12/21/2006
Last updated
07/21/2022
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