| NPI | 1275523151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI L RONDOWANSKI Credentialing Specialist 209-342-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA 69105) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2020-08-22 |