Dis Aquisition Corp
NPI #1508919978 in Poway, California
Provider Information
- NPI Number
- 1508919978
- Entity Type
- Organization
- Organization Name
- Dis Aquisition Corp
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Jan 19, 2007
- Last Updated
- Apr 20, 2009
Practice Location
- Address
- 13950 STOWE DR
- City
- Poway
- State
- California
- ZIP Code
- 92064-8803
- Phone
- (800) 947-6134
Authorized Official
- Name
- MICHAEL KEENAN
- Title
- CEO
- Phone
- (813) 496-1075
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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