Deactivation Date: 3/31/2023
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Darkroom Technician |
2472D0500X | 75 | Slide Preparation Facility | |
Bone Densitometry Radiologic Technologist |
2471B0102X | |||
Mammography Radiologic Technologist |
2471M2300X | |||
Radiography Radiologic Technologist |
2471C3402X | |||
Radiologic Technologist |
247100000X | |||
Sonography Radiologic Technologist |
2471S1302X | |||
Specialist/Technologist Cardiovascular, Sonography |
246XS1301X | |||
Vascular Sonography Radiologic Technologist |
2471V0105X |
| NPI # | 1154442028 |
| LBN Legal business name | GREENBRIER PHYSICIANS, INC |
| Authorized official | JOHN TROUT - (CLINIC ADMINISTRATOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/02/2007 |
| Last updated | 09/11/2025 - About 9 months ago |
| Identifiers | n/a |
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