| NPI | 1588663124 |
|---|---|
| Doing Business As | PETALUMA OPEN MRI |
| Entity Type | Organization |
| Authorized Contact | PATRICK G. HOWARD Managing Member 337-291-9161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2015-03-03 |