Kodiak Life Diagnostic Imaging, INC

NPI #1083125355 in Kodiak, Alaska

Provider Information

NPI Number
1083125355
Entity Type
Organization
Organization Name
Kodiak Life Diagnostic Imaging, INC
Primary Specialty
Clinic/Center - Radiology
Enumeration Date
Oct 13, 2017
Last Updated
Oct 13, 2017

Practice Location

Address
1915 E REZANOF DR
City
Kodiak
State
Alaska
ZIP Code
99615-6602
Phone
(907) 512-9559

Authorized Official

Name
DR. JAMES DARRYL BISE, DO
Title
PRESIDENT
Phone
(907) 512-9559

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RadiologyRadiology

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