MICHAEL L PUCKETT

SAN DIEGO, CA
NPI1043284235
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: CA  G64723)
Additional Taxonomies2085B0100X Radiology, Body Imaging
(Licence: CA  G64723)
2085U0001X Radiology, Diagnostic Ultrasound
(Licence: CA  G64723)
2085N0700X Radiology, Neuroradiology
(Licence: CA  G64723)
2085N0904X Radiology, Nuclear Radiology
(Licence: CA  G64723)
2085P0229X Radiology, Pediatric Radiology
(Licence: CA  G64723)
Enumeration Date2006-02-14
Last Update Date2007-10-10
Business Address
-- MICHAEL L PUCKETT MD
8745 AERO DR SUITE 200
SAN DIEGO, CA 92123-1774
Phone number: 858-565-0950
Mailing Address
-- MICHAEL L PUCKETT MD
PO BOX 23540
SAN DIEGO, CA 92193-3540
Phone number: 858-565-0950