Pueblo Radiology LLC

NPI #1295061422 in Tucson, Arizona

Provider Information

NPI Number
1295061422
Entity Type
Organization
Organization Name
Pueblo Radiology LLC
Primary Specialty
Clinic/Center - Magnetic Resonance Imaging (MRI)
Enumeration Date
Oct 22, 2009
Last Updated
Oct 22, 2009

Practice Location

Address
1313 W SAINT MARYS RD
City
Tucson
State
Arizona
ZIP Code
85745-3112
Phone
(520) 352-7600

Authorized Official

Name
MR. DANIEL ALAN DERHAAG
Title
MANAGER
Phone
(520) 352-7600

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RadiologyRadiology
Clinic/Center - Magnetic Resonance Imaging (MRI)Magnetic Resonance Imaging (MRI)

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