Imaging Center at Gloster Creek Village Pllc
NPI #1417907536 in Tupelo, Mississippi
Provider Information
- NPI Number
- 1417907536
- Entity Type
- Organization
- Organization Name
- Imaging Center at Gloster Creek Village Pllc
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- May 11, 2006
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 320 S GLOSTER ST
- City
- Tupelo
- State
- Mississippi
- ZIP Code
- 38801-4748
- Phone
- (662) 841-7880
Authorized Official
- Name
- DANIEL SCHAEFER
- Title
- COO
- Phone
- (770) 300-0101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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