Modesto Radiological Medical Group, INC
NPI #1073969838 in Santa Cruz, California
Provider Information
- NPI Number
- 1073969838
- Entity Type
- Organization
- Organization Name
- Modesto Radiological Medical Group, INC
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- May 11, 2016
- Last Updated
- May 11, 2016
Practice Location
- Address
- 148 BEACHVIEW AVE
- City
- Santa Cruz
- State
- California
- ZIP Code
- 95060-3008
- Phone
- (559) 455-4009
Authorized Official
- Name
- MARK E MOORE
- Title
- COO
- Phone
- (209) 342-5946
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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