| NPI | 1467046102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY RUSSELL Credentialing Specialist 530-543-5636 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2021-02-23 |