| NPI | 1003372624 |
|---|---|
| Doing Business As | SISKIYOU MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JAMES PROFFITT CEO 530-964-2389 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2471B0102X Radiologic Technologist, Bone Densitometry |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2019-02-19 |