Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Jun 26, 2014
License(s)
125.065522 (IL), 35.139065 (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2830 VICTORY PKWY | Cincinnati, OH 45206-1785 | 513-245-3613 |
| LOCATION | 1604 GUNBARREL RD | Chattanooga, TN 37421-3125 | 423-893-7226 |
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