| NPI | 1043633829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE SCOTT PRETORIUS Authorized Official 760-778-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2014-01-29 |