Pediatric Radiology, P.A. in Plymouth - Pediatric Radiology
Pediatric Radiology, P.A. - NPI 1124072673
Pediatric Radiology, P.A. is a Pediatric Radiology in Plymouth, Minnesota. Pediatric Radiology, P.A. practices all healthcare services and medical treatments related to Pediatric Radiology. The NPI Number for Pediatric Radiology, P.A. is 1124072673. The last update date is 2020-08-22.
Pediatric Radiology, P.A.'s current location address is Po Box 46100, Plymouth, Minnesota. You can contact this provider via phone number 7635539920 and fax number 7635539910. The mailing address for Pediatric Radiology, P.A. is Po Box 46100, Plymouth, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Radiology, P.A. |
|---|---|
| Address | Po Box 46100, Plymouth, Minnesota |
| Phone Number | 7635539920 |
| Fax Number | 7635539910 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Prewitt Leland |
| Credentials | MD |
| Telephone Number | 6128138200 |
NPI Number Detail
| NPI Number | 1124072673 |
|---|---|
| Provider Enumeration Date | 2006-05-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 46100 |
|---|---|
| City | Plymouth |
| State | Minnesota (MN) |
| Post Code | 554460100 |
| Phone Number | 7635539920 |
| Fax Number | 7635539910 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Radiology |
|---|---|
| Taxonomy | 2085P0229X |
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Definition: A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the ca |
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Post Comment/ Review Below
What is the unique identification code assigned to Pediatric Radiology, P.A. by the Centers for Medicare & Medicaid Services?
The Pediatric Radiology, P.A. has been issued the NPI (National Provider Identifier) 1124072673. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Pediatric Radiology, P.A.?
The Pediatric Radiology, P.A. is situated at Po Box 46100, in the city of Plymouth, state of MN, with the zip code 554460100.
What is Pediatric Radiology, P.A.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Pediatric Radiology, P.A. is Pediatric Radiology, and the corresponding taxonomy classification code for this specialized field is 2085P0229X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124072673 to Pediatric Radiology, P.A.?
The Centers for Medicare & Medicaid Services originally issued the 1124072673 to Pediatric Radiology, P.A. on 2006-05-20.
When was the information regarding Pediatric Radiology, P.A. most recently updated?
The details pertaining to the Pediatric Radiology, P.A., including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
NPI Number: 1720081763
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