Organization Name: | WALNUT VALLEY IMAGING PA |
NPI Number: | 1083675227 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NEIL ROSENQUIST (PRESIDENT) |
Mailing Address: | 817 Main St Winfield |
State: | KS US |
Postal Code: | 671562834 |
Phone Number: | 6204415788 |
Fax Number: | |
NPI Enumeration Date: | 03/29/2006 |
NPI Last Update Date: | 05/06/2008 |
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. |