Fawcett Medical Imaging Pa

NPI 1720068497 - Radiology - 2085R0202X

NPI Details
NPI 1720068497
Enumeration Date 01/19/2006
Last Updated 02/27/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BRUCE BRUCE
Position PRESIDENT
Phone (423) 826-1276
Fax
Practice Location
21298 OLEAN BLVD
PORT CHARLOTTE FL, 33952-6705, US
Phone (423) 826-1276
Fax
Business Location
4300 N ACCESS RD
SUITE D
CHATTANOOGA TN, 37415-3812, US
Phone (423) 826-1276
Fax
Toxanomy
Taxonomy Code 2085R0202X
License State
License Number
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According to our database, Fawcett Medical Imaging Pa NPI is 1720068497, taxonomy code is 2085R0202X Fawcett Medical Imaging Pa physically located at 21298 Olean Blvd, Port Charlotte FL, 33952-6705. NPI Number 1033115704 has the healthcare provider type.

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1720068497 NPI number is provided on an as is basis without warranty of any kind. 1720068497 is maintained by the National Plan & Provider Enumeration System. The contents of Fawcett Medical Imaging Pa are for informational purposes only.