Richland Radiology Ltd
NPI #1316055130 in Mount Carmel, Illinois
Provider Information
- NPI Number
- 1316055130
- Entity Type
- Organization
- Organization Name
- Richland Radiology Ltd
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Aug 29, 2006
- Last Updated
- Jul 22, 2010
Practice Location
- Address
- 326 W 3RD STREET
- City
- Mount Carmel
- State
- Illinois
- ZIP Code
- 62863
- Phone
- (618) 262-7303
Authorized Official
- Name
- DR. ENRIQUE V BOUFFARD III, MD
- Title
- PRESIDENT
- Phone
- (618) 262-7303
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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