Provider Demographics
NPI:1003124116
Name:PALMARIS IMAGING OF ARIZONA, PLLC
Entity Type:Organization
Organization Name:PALMARIS IMAGING OF ARIZONA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:C
Authorized Official - Last Name:WATTERS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:618-259-2047
Mailing Address - Street 1:604 W WARNER RD
Mailing Address - Street 2:STE. E-102
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-2906
Mailing Address - Country:US
Mailing Address - Phone:618-259-2047
Mailing Address - Fax:866-596-7769
Practice Address - Street 1:604 W WARNER RD
Practice Address - Street 2:STE. E-102
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-2906
Practice Address - Country:US
Practice Address - Phone:618-259-2047
Practice Address - Fax:866-596-7769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-23
Last Update Date:2010-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty