Premier Sports Imaging of Glendale

NPI #1134497753 in Glendale, Arizona

Provider Information

NPI Number
1134497753
Entity Type
Organization
Organization Name
Premier Sports Imaging of Glendale
Primary Specialty
Specialist
Enumeration Date
Dec 9, 2011
Last Updated
Dec 9, 2011

Practice Location

Address
7111 W BELL RD STE 104
State
Arizona
ZIP Code
85308-8552
Phone
(602) 943-9200

Authorized Official

Name
DR. PERRY HISCOK, M.D.
Title
OWNER
Phone
(623) 533-4465

Specialties & Taxonomy Codes

Specialty
Specialist

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