Prowave Diagnostics Llc

NPI 1265786305 - Portable X-Ray Supplier - 335V00000X

NPI Details
NPI 1265786305
Enumeration Date 10/27/2012
Last Updated 10/27/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name STEPHANIE STEPHANIE
Position BILLING MANAGER
Phone (831) 477-6633
Fax
Practice Location
238 PEACH LN
RIDGEDALE MO, 65739-4182, US
Phone (831) 477-6633
Fax
Business Location
PO BOX 130
RIDGEDALE MO, 65739-0130, US
Phone
Fax
Toxanomy
Taxonomy Code 335V00000X
License State
License Number
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According to our database, Prowave Diagnostics Llc NPI is 1265786305, taxonomy code is 335V00000X Prowave Diagnostics Llc physically located at 238 Peach Ln, Ridgedale MO, 65739-4182. NPI Number 1033115704 has the healthcare provider type.

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1265786305 NPI number is provided on an as is basis without warranty of any kind. 1265786305 is maintained by the National Plan & Provider Enumeration System. The contents of Prowave Diagnostics Llc are for informational purposes only.