Organization Name: | BRIDGEWAY DIAGNOSTIC RADIOLOGY, LLC |
NPI Number: | 1306248729 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JASON HOOVER (M.D./OWNER) |
Mailing Address: | 5007 Summerville Road Phenix City |
State: | AL US |
Postal Code: | 368671559 |
Phone Number: | 3344082854 |
Fax Number: | 3343849274 |
NPI Enumeration Date: | 09/17/2014 |
NPI Last Update Date: | 01/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
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. |