| NPI | 1447238092 |
|---|---|
| Other Name | CAPITAL CITY MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ROSE MARY ULLERY Administrator 916-920-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471B0102X Radiologic Technologist, Bone Densitometry |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2020-08-22 |