Organization
IMAGE INTERPRETATION SERVICES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN FRANK BALZANO MD (OWNER)
(740) 266-4908
Entity
Organization
Contact information
Practice address
112 VALLEY RD, MINGO JCT, OH 43938-1463
(740) 266-4908
(740) 264-4376
Mailing address
PO BOX 76648, CLEVELAND, OH 44101-6500
(740) 266-4908
(740) 264-4376
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OH350780001B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2268460
—
OH
Enumeration date
06/24/2006
Last updated
12/01/2008
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