Prescott Medical Imaging, LLC

NPI #1568424315 in Prescott, Arizona

Provider Information

NPI Number: 1568424315
Entity Type: Organization
Organization Name: Prescott Medical Imaging, LLC
Primary Specialty: Radiologic Technologist
Enumeration Date: Apr 5, 2006
Last Updated: Jul 25, 2011

Practice Location

Address: 810 WHIPPLE ST
City: Prescott
State: Arizona
ZIP Code: 86301-1606
Phone: (928) 771-7577

Authorized Official

Name: DR. STANLEY RHETT SMITH, MD
Title: MEDICAL DIRECTOR
Phone: (928) 778-1971

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiologic Technologist	247100000X	Primary

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