Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
May 9, 2019
License(s)
35.142956 (OH), 57.246996 (OH), 45.142956 (OH), ME162400 (FL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 3333 BURNET AVE ML 5031 | Cincinnati, OH 45229 | 513-633-4504 |
| LOCATION | 60 MEMORIAL MEDICAL PKWY | Palm Coast, FL 32164-5980 | 386-586-2000 |
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