Tidewater Diagnostic Imaging Ltd

NPI 1073626396 - Radiology - 2085R0202X

NPI Details
NPI 1073626396
Enumeration Date 08/17/2006
Last Updated 02/01/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name WILLIAM WALLACE WILLIAM
Position PRESIDENT
Phone (757) 736-1621
Fax (757) 827-6748
Practice Location
3000 COLISEUM DR
SENTARA CAREPLEX HOSPITAL
HAMPTON VA, 23666, US
Phone (757) 736-1621
Fax (757) 827-6748
Business Location
PO BOX 12127
NEWPORT NEWS VA, 23612-2127, US
Phone (757) 867-6101
Fax (757) 867-6587
Toxanomy
Taxonomy Code 2085R0202X
License State
License Number
Remove 1073626396 NPI Number
 

According to our database, Tidewater Diagnostic Imaging Ltd NPI is 1073626396, taxonomy code is 2085R0202X Tidewater Diagnostic Imaging Ltd physically located at 3000 Coliseum Dr, Hampton VA, 23666. NPI Number 1033115704 has the healthcare provider type.

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1073626396 NPI number is provided on an as is basis without warranty of any kind. 1073626396 is maintained by the National Plan & Provider Enumeration System. The contents of Tidewater Diagnostic Imaging Ltd are for informational purposes only.