Radiant Medical Group LLC

NPI #1164867156 in Springfield, Pennsylvania

Provider Information

NPI Number: 1164867156
Entity Type: Organization
Organization Name: Radiant Medical Group LLC
Primary Specialty: General Practice
Enumeration Date: May 3, 2013
Last Updated: May 3, 2013

Practice Location

Address: 529 BALTIMORE PIKE
City: Springfield
State: Pennsylvania
ZIP Code: 19064-3839
Phone: (302) 494-9777

Authorized Official

Name: ALBERT FORWOOD
Title: PRESIDENT
Phone: (302) 494-9777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X
General Practice	208D00000X	Primary

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