Organization · Type 2 NPI

Great River Radiology, Inc

Diagnostic Radiology Physician · Granite City, IL

NPI number 1407412752 Active

Practice location

2100 Madison Ave
Granite City, IL 62040

Mailing address

739 Pinehurst Drive
New Braunfels, TX 78130

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XNone listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1407412752

Great River Radiology, Inc's National Provider Identifier is 1407412752, issued on May 13, 2019. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Granite City, IL. The record was last updated on May 13, 2019.