Organization Name: | CARTHAGE RADIOLOGOSTS |
NPI Number: | 1003081530 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WAYNE E PUTNAM (OWNER) |
Mailing Address: | 1515 Hazel St Carthage |
State: | MO US |
Postal Code: | 648362850 |
Phone Number: | 4173581244 |
Fax Number: | 4173587157 |
NPI Enumeration Date: | 04/25/2008 |
NPI Last Update Date: | 05/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |