Modern Interventional Radiology, LLC

NPI #1356732168 in Phoenix, Arizona

Provider Information

NPI Number: 1356732168
Entity Type: Organization
Organization Name: Modern Interventional Radiology, LLC
Primary Specialty: Specialist
Enumeration Date: Feb 16, 2015
Last Updated: Feb 16, 2015

Practice Location

Address: 1301 E MCDOWELL RD
Address 2: SUITE 100
City: Phoenix
State: Arizona
ZIP Code: 85006-2621
Phone: (602) 265-8800

Authorized Official

Name: LESLIE DAUGHERTY
Title: ADMINISTRATOR
Phone: (602) 265-8800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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