Organization · Type 2 NPI
Maryville Radiology Group, Ltd
Diagnostic Radiology Physician · Maryville, IL
NPI number
1497773063
Active
Practice location
Illinois Route 162, Anderson Hospital Dept Of Radiology
Maryville, IL 62062
Mailing address
PO Box 78130
St. Louis, MO 63178-8130
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.
About NPI 1497773063
Maryville Radiology Group, Ltd's National Provider Identifier is 1497773063, issued on Jul 18, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Maryville, IL. The record was last updated on Feb 12, 2020.