Logan Park Imaging Llc

NPI 1205831971 - Radiology - 2085R0202X

NPI Details
NPI 1205831971
Enumeration Date 06/17/2005
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name WROPHAS WROPHAS
Position PRESIDENT/PROVIDER
Phone (618) 998-9633
Fax (618) 998-9623
Practice Location
500 LINCOLN DR
STE C
HERRIN IL, 62948-6334, US
Phone (618) 998-9633
Fax (618) 998-9623
Business Location
500 LINCOLN DR
STE C
HERRIN IL, 62948-6334, US
Phone (618) 998-9633
Fax (618) 998-9623
Toxanomy
Taxonomy Code 2085R0202X
License State Illinois
License Number =========
Remove 1205831971 NPI Number
 

According to our database, Logan Park Imaging Llc NPI is 1205831971, taxonomy code is 2085R0202X and license number is =========, license state is located at Illinois. Logan Park Imaging Llc physically located at 500 Lincoln Dr, Herrin IL, 62948-6334. NPI Number 1033115704 has the healthcare provider type.

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1205831971 NPI number is provided on an as is basis without warranty of any kind. 1205831971 is maintained by the National Plan & Provider Enumeration System. The contents of Logan Park Imaging Llc are for informational purposes only.