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NPI Code Detail

MEDICARE: ARNSON RADIOLOGY, LLC

MEDICARE: ARNSON RADIOLOGY, LLC
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 : 1851655021
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARNSON RADIOLOGY, LLC
Provider Business Mailing Address
First Line : 17350 COLDWATER TRL
Second Line :
City : CHAGRIN FALLS
State : OH
Zip : 44023-1413
Country : US
Telephone Number : 216-832-6832
Fax Number :
Provider Business Practice Location Address
First Line : 17350 COLDWATER TRL
Second Line :
City : CHAGRIN FALLS
State : OH
Zip : 44023-1413
Country : US
Telephone Number : 216-832-6832
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. DOUGLAS S ARNSON
Credential : M.D.
Telephone Number : 216-832-6832
Provider Enumeration Date : 07/02/2012
Last Update Date : 07/02/2012

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