Organization Name: | WSO IMAGING CENTER LP |
NPI Number: | 1912993817 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELIZABETH A BERGEY (PRESIDENT) |
Mailing Address: | 405 Saint Johns Church Rd Camp Hill |
State: | PA US |
Postal Code: | 170115739 |
Phone Number: | 7177617470 |
Fax Number: | 7177616291 |
NPI Enumeration Date: | 09/26/2005 |
NPI Last Update Date: | 01/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | NONE |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |