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Contact Information

MEDICAL MILE IMAGING
3905 E WINDSMORE DR
SPRINGFIELD, MO65802
 Phone: 417-864-8360
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for MEDICAL MILE IMAGING · (Female)

NPI # 1407389596
Status Active
Credentials
Entity Individual
Enumeration date 04/06/2017
Last updated 04/06/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO License # R4804
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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