A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Neuroradiology |
2085N0700X | |||
Body Imaging |
2085B0100X | |||
Radiology |
261QR0200X | 74 | Radiation Therapy Center | |
Vascular & Interventional Radiology |
2085R0204X | 94 | Physician/Interventional Radiology |
| NPI # | 1982037107 |
| LBN Legal business name | SJRMC INTERVENTIONAL RADIOLOGY SERVICES LLC |
| Authorized official | TERRANCE DILLON - (ASST SECRETARY) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/12/2013 |
| Last updated | 03/24/2022 - About 4 years ago |
| Identifiers | n/a |
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