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A Radiology doctor of Osteopathy that specializes in Body Imaging.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Body Imaging |
2085B0100X | |||
Radiology |
261QR0200X | 74 | Radiation Therapy Center |
| NPI # | 1164726360 |
| LBN Legal business name | BIRCHCREST HOLDINGS, LLC |
| Authorized official | JACK CORNELL - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/03/2011 |
| Last updated | 08/23/2018 - About 8 years ago |
| Identifiers | n/a |
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BIRCHCREST HOLDINGS, LLC
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BIRCHCREST HOLDINGS, LLC