PLACERVILLE RADIOLOGY MEDICAL GROUP INC

PLACERVILLE, CA
NPI1700847621
Entity TypeOrganization
Authorized ContactANIETIE OKON
President
530-626-2613
Organization Subpart ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
Additional Taxonomies2085B0100X Radiology, Body Imaging
2085N0700X Radiology, Neuroradiology
2085N0904X Radiology, Nuclear Radiology
2085R0203X Radiology, Therapeutic Radiology
2085R0204X Radiology, Vascular & Interventional Radiology
2085R0205X Radiology, Radiological Physics
2085U0001X Radiology, Diagnostic Ultrasound
Enumeration Date2006-03-30
Last Update Date2019-10-09
Business Address
PLACERVILLE RADIOLOGY MEDICAL GROUP INC
1100 MARSHALL WAY
PLACERVILLE, CA 95667-6533
Phone number: 530-622-1441
Mailing Address
PLACERVILLE RADIOLOGY MEDICAL GROUP INC
PO BOX 707 681 MAIN ST STE 105
PLACERVILLE, CA 95667-0707
Phone number: 530-626-1166