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NPI Code Detail

MEDICARE: STONE CITY RADIOLOGY, PLLC

MEDICARE: STONE CITY RADIOLOGY, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician

General Provider Information

NPI Number : 1497737118
Entity Type Code : Organization
Provider Name (Legal Business Name) : STONE CITY RADIOLOGY, PLLC
Provider Business Mailing Address
First Line : PO BOX 818
Second Line :
City : BROWNWOOD
State : TX
Zip : 76804-0818
Country : US
Telephone Number : 314-821-8055
Fax Number : 314-821-1833
Provider Business Practice Location Address
First Line : 1501 BURNET DRIVE
Second Line :
City : BROWNWOOD
State : TX
Zip : 76801-8520
Country : US
Telephone Number : 325-646-8541
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DOUGLAS KEVIN SCHWEGEL
Credential : M.D.
Telephone Number : 812-276-1300
Provider Enumeration Date : 11/17/2005
Last Update Date : 03/11/2008

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Directions to “STONE CITY RADIOLOGY, PLLC ” Practice Location

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