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NPI Code Detail

MEDICARE: BAY RADIOLOGY ASSOCIATES, PL

MEDICARE: BAY RADIOLOGY ASSOCIATES, PL
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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100548OTHERFLBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
300548OTHERBCBS

General Provider Information

NPI Number : 1538136395
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAY RADIOLOGY ASSOCIATES, PL
Provider Business Mailing Address
First Line : PO BOX 1770
Second Line :
City : PANAMA CITY
State : FL
Zip : 32402-1770
Country : US
Telephone Number : 850-747-4905
Fax Number : 850-747-4907
Provider Business Practice Location Address
First Line : 527 N. PALO ALTO AVE.
Second Line :
City : PANAMA CITY
State : FL
Zip : 32401-3639
Country : US
Telephone Number : 850-747-4905
Fax Number : 850-747-4907
Authorized Official
Title or Position : PRESIDENT
Name : DR. LLOYD G. LOGUE
Credential : D.O.
Telephone Number : 850-747-4905
Provider Enumeration Date : 03/01/2006
Last Update Date : 08/04/2016

Similar Medicare Providers

1992776066 — DR. LLOYD G LOGUE DO
Practice Location Address:
527 N PALO ALTO AVE
PANAMA CITY, FL
32401-3639
Practice Phone: 850-763-2451
Practice Fax: 850-747-4907
1730150806 — DR. GREGORY A PRESSER MD
Practice Location Address:
527 N PALO ALTO AVE
PANAMA CITY, FL
32401-3639
Practice Phone: 850-763-2451
Practice Fax: 850-747-4907
1124084371 — DR. EMILY DALE BILLINGSLEY MD
Practice Location Address:
527 N PALO ALTO AVE
PANAMA CITY, FL
32401-3639
Practice Phone: 850-747-4905
Practice Fax: 850-747-4907
1063440162 — DANIEL L COX JR. PAC
Practice Location Address:
527 N PALO ALTO AVE
PANAMA CITY, FL
32401-3639
Practice Phone: 850-747-4905
Practice Fax: 850-747-4907
1982638466 — DR. MARTIN ENGWALL SHELINE MD
Practice Location Address:
527 N. PALO ALTO AVE
PANAMA CITY, FL
32401-3639
Practice Phone: 850-747-4905
Practice Fax: 850-747-4907
1235283805 — JOE B HARBISON M.D.
Practice Location Address:
527 N PALO ALTO AVE
PANAMA CITY, FL
32401-3639
Practice Phone: 850-747-4905
Practice Fax: 850-747-4907

Directions to “BAY RADIOLOGY ASSOCIATES, PL ” Practice Location

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