Polk County Radiology LLC

NPI #1780642249 in Bolivar, Missouri

Provider Information

NPI Number
1780642249
Entity Type
Organization
Organization Name
Polk County Radiology LLC
Primary Specialty
Radiology - Diagnostic Radiology
Enumeration Date
May 3, 2006
Last Updated
Aug 14, 2008

Practice Location

Address
1500 N OAKLAND AVE
Address 2
DEPT. OF RADIOLOGY
ZIP Code
65613-3011
Phone
(417) 326-6000

Authorized Official

Name
DR. RICHARD REBER, MD
Title
OWNER
Phone
(417) 328-6446

Specialties & Taxonomy Codes

Specialty
Radiology - Diagnostic RadiologyDiagnostic Radiology

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