Southeastern Osteoporosis Services INC

NPI #1407848211 in Pensacola, Florida

Provider Information

NPI Number
1407848211
Entity Type
Organization
Organization Name
Southeastern Osteoporosis Services INC
Primary Specialty
Radiologic Technologist - Bone Densitometry
Enumeration Date
Aug 17, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
4511 N DAVIS HWY
Address 2
SUITE 1-C
State
Florida
ZIP Code
32503-2720
Phone
(850) 477-0775

Authorized Official

Name
MR. STEPHEN D BAST, P.A.-C.
Title
PRESIDENT
Phone
(850) 477-0775

Specialties & Taxonomy Codes

Specialty
Radiologic Technologist - Bone DensitometryBone Densitometry

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