Organization · Type 2 NPI

Comanche County Hospital Authority Southwest Radiology

Diagnostic Radiology Physician · Riverview, FL

NPI number 1710120258 Active

Practice location

11447 Dutch Iris Dr
Riverview, FL 33578-3728

Mailing address

PO Box 2309
Lawton, OK 73502-2309

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XNone listed
Diagnostic Radiology Physician 2085R0202X115285 (FL)

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 1710120258

Comanche County Hospital Authority Southwest Radiology's National Provider Identifier is 1710120258, issued on Apr 14, 2009. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Riverview, FL. The record was last updated on Jun 7, 2013.