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Sierra Vista Diagnostics Llc
Diagnostic Radiology Physician in Sierra Vista, Arizona
NPI 1104014257

Sierra Vista Diagnostics Llc is a Diagnostic Radiology Physician based in Sierra Vista, AZ and is specialized in Diagnostic Radiology. Sierra Vista Diagnostics Llc practices in Sierra Vista, AZ. The NPI Number for Sierra Vista Diagnostics Llc is 1104014257 and holds a License No. 9110 (Arizona).

The current practice location address for Sierra Vista Diagnostics Llc is 155 Calle Portal Ste 500, Sierra Vista, AZ and can be reached out via phone at 520-459-5227 and via fax at 520-459-2191.

Location: 155 Calle Portal Ste 500, Sierra Vista, AZ, 85635-2973
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104014257
Provider Name
Sierra Vista Diagnostics Llc
Credential
Provider Entity Type
Organization
Address
155 Calle Portal Ste 500, Sierra Vista, AZ, 85635-2973
Phone Number
520-459-5227
Fax Number
520-459-2191
Provider Enumeration Date
10/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
255085001 05 AZ
DD8752 01 AZ RAILROAD MEDICARE
220575001 05 AZ
institution
Provider Business Practice Location Address Details
Address
155 Calle Portal Ste 500
City
Sierra Vista
State
Arizona
Zip
85635-2973
Phone Number
520-459-5227
Fax Number
520-459-2191
person
Provider Business Mailing Address Details
Address
155 Calle Portal Ste 500
City
Sierra Vista
State
Arizona
Zip
85635-2973
Phone Number
520-459-5227
Fax Number
520-459-2191
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
9110 (Arizona)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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