| NPI | 1598813115 |
|---|---|
| Doing Business As | MICB RADIOOGY MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | CHARLES L TAYLOR Sole Proprietor 661-395-0155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |