Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Magnetic Resonance Imaging (MRI) |
261QM1200X |
| NPI # | 1730182445 |
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| LBN Legal business name | RIVER CITY ORTHOPAEDIC SURGEONS PSC | ||||
| Authorized official | MICHELLE DOUGLAS - (CREDENTIALING MANAGER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 05/27/2005 | ||||
| Last updated | 01/07/2009 - About 17 years ago | ||||
| Identifiers |
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