| NPI | 1992796643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A WAGNER Director 209-342-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA 8126) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2008-10-16 |