| NPI | 1225632771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY ELIZABETH STEELE Credentialing Specialist 559-455-4109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2020-11-25 |