Organization · NPI-2
Alton Multispecialists
Radiologic Technologist, Mammography · Alton, IL
NPI number1659589703
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1659589703
- Entity type
- Organization (NPI-2)
- Legal business name
- Alton Multispecialists
- Organization subpart
- No
- Enumeration date
- May 21, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2471M2300X | Radiologic Technologist, Mammography | 100867 | IL | Yes |
Practice location
1 Professional DrSuite 40
Alton, IL 62002-5068
Phone 618-463-8530 · Fax 618-463-8536
Mailing address
1 Professional DrSuite 40
Alton, IL 62002-5068
Phone 618-463-8530 · Fax 618-463-8536
Authorized official
Brenda S Kasten
Physician Services
6184638690
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