| NPI | 1508936030 |
|---|---|
| Other Name | CHEST CLINIC |
| Entity Type | Organization |
| Authorized Contact | QUAITA L. STUCKER Senior Account Clerk 916-875-1416 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology (Licence: CA 05D0616630) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2019-04-25 |