Organization · Type 2 NPI
Imaging Center at Gloster Creek Village PLLC
Diagnostic Radiology Physician · Tupelo, MS
NPI number
1417907536
Active
Practice location
320 S Gloster St
Tupelo, MS 38801-4748
Fax (662) 821-1888
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | None listed |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Another provider at this address
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About NPI 1417907536
Imaging Center at Gloster Creek Village PLLC's National Provider Identifier is 1417907536, issued on May 11, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Tupelo, MS. The record was last updated on Jul 21, 2022.