Patrick W Bozarth
Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier in Escanaba, MI. Organization (NPI-2).
NPI number1043344690
StatusActive
Last updated in NPPESJul 8, 2008
Details
- NPI
- 1043344690
- Entity type
- Organization (NPI-2)
- Legal business name
- Patrick W Bozarth
- Organization subpart
- No
- Enumeration date
- Mar 15, 2007
- Last updated
- Jul 8, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335V00000X | Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | – | – | Yes |
Practice location
227 N 9th StEscanaba, MI 49829-3815
Phone 906-233-9762 · Fax 906-233-9763
Mailing address
227 N 9th StEscanaba, MI 49829-3815
Phone 906-233-9762 · Fax 906-233-9763
Authorized official
Patrick W Bozarth
Owner
9062339762
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