Organization
RADIOLOGY CONSULTANTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY ELWING M.D. (PRESIDENT/AUTHORIZED OFFICIAL)
(573) 864-6475
Entity
Organization
Contact information
Practice address
1502 E BROADWAY, SUITE 210, COLUMBIA, MO 65201-8076
(573) 443-4591
(573) 874-1369
Mailing address
1502 E BROADWAY, SUITE 210, COLUMBIA, MO 65201-8076
(573) 443-4591
(573) 874-1369
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
710343005
—
MO
01
—
MA2002
MEDICARE PTAN
MO
Enumeration date
07/23/2006
Last updated
05/24/2017
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