Modesto Radiological Medical Group, INC
NPI #1023482296 in San Luis Obispo, California
Provider Information
- NPI Number
- 1023482296
- Entity Type
- Organization
- Organization Name
- Modesto Radiological Medical Group, INC
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Nov 25, 2015
- Last Updated
- Nov 25, 2015
Practice Location
- Address
- 6729 MONTE RD
- City
- San Luis Obispo
- State
- California
- ZIP Code
- 93401-8050
- Phone
- (559) 455-4009
Authorized Official
- Name
- MR. MARK MOORE
- Title
- CFO/COO
- Phone
- (209) 342-5946
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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