Medical Imaging Shelbyville
NPI #1548591266 in Shelbyville, Kentucky
Provider Information
- NPI Number
- 1548591266
- Entity Type
- Organization
- Organization Name
- Medical Imaging Shelbyville
- Primary Specialty
- Radiology - Body Imaging
- Enumeration Date
- Jan 20, 2010
- Last Updated
- Jan 29, 2010
Practice Location
- Address
- 101 STONECREST RD
- Address 2
- SUITE 2
- City
- Shelbyville
- State
- Kentucky
- ZIP Code
- 40065-8169
- Phone
- (502) 647-0311
Authorized Official
- Name
- DR. DAVID W WALLACE, MD, MBA
- Title
- PRESIDENT
- Phone
- (502) 647-0311
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Body Imaging — Body Imaging |
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