Organization · Type 2 NPI

Black Rock Advanced Medical Imaging

Diagnostic Radiology Physician · Gillette, WY

NPI number 1649556838 Active

Practice location

620 4J Ct, Unit C
Gillette, WY 82716-4130

Fax (307) 682-8266

Mailing address

620 4 J Ct Unit D
Gillette, WY 82716-4130

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XNone listed
Physiological Laboratory 293D00000XNone listed

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

7 other providers at this address

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About NPI 1649556838

Black Rock Advanced Medical Imaging's National Provider Identifier is 1649556838, issued on Nov 1, 2011. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Gillette, WY. The record was last updated on Aug 8, 2024.