Provider First Line Business Practice Location Address:
19646 N 27TH AVE STE 205
Provider Second Line Business Practice Location Address:
DEPARTMENT OF RADIOLOGY
Provider Business Practice Location Address City Name:
PHOENIX
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85027-4026
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
623-434-2777
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/23/2007