Provider First Line Business Practice Location Address:
1001 BELLEFONTAINE AVE
Provider Second Line Business Practice Location Address:
RADIOLOGY DEPARTMENT
Provider Business Practice Location Address City Name:
LIMA
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45804-2800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-226-5055
Provider Business Practice Location Address Fax Number:
419-226-5064
Provider Enumeration Date:
07/26/2006