OrganizationActive
Pediatric Radiology, P.A.
NPI 1124072673 · Pediatric Radiology Physician · Minneapolis, MN
Provider details
- NPI number
- 1124072673
- Entity type
- Organization
- Primary specialty
- Pediatric Radiology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Leland Prewitt, President
Mailing address
Po Box 46100
Plymouth, MN 55446-0100
Registry dates
- Enumerated
- 2006-05-20
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.