Doctor Name: | DR. BRIAN RANDALL EWY |
NPI Number: | 1205878857 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | OS9950 |
Business Practice Address: | 21 Rivers Edge Dr Kennebunk, ME - 040437739 |
Business Phone Number: | 2079672745 |
Business Fax Number: | |
Mailing Address: | 23625 Commerce Park, Ste 204 BEACHWOOD |
State: | OH |
Postal Code: | 441225845 |
Phone Number: | 2162555743 |
Fax Number: | 8667353451 |
NPI Enumeration Date: | 06/11/2006 |
NPI Last Update Date: | 06/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | OS9950 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |