Integra Imaging Ps - Mt

NPI #1053868992 in Missoula, Montana

Provider Information

NPI Number
1053868992
Entity Type
Organization
Organization Name
Integra Imaging Ps - Mt
Subpart
Yes (part of a larger organization)
Parent Organization
INTEGRA IMAGING PS
Primary Specialty
Radiology - Diagnostic Radiology
Enumeration Date
Sep 8, 2016
Last Updated
Sep 8, 2016

Practice Location

Address
2419 MULLAN RD
Address 2
D
State
Montana
ZIP Code
59808-1856
Phone
(509) 747-4455

Authorized Official

Name
SARAH RUSSELL
Title
COO
Phone
(509) 747-4455

Specialties & Taxonomy Codes

Specialty
Radiology - Diagnostic RadiologyDiagnostic Radiology

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