| NPI | 1730711854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY ELIZABETH STEELE Credentialing Specialist 559-455-4109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-02-06 |