Radiology Associates of San Luis Obispo
NPI #1336274414 in San Luis Obispo, California
Provider Information
- NPI Number
- 1336274414
- Entity Type
- Organization
- Organization Name
- Radiology Associates of San Luis Obispo
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- RADIOLOGY ASSOCIATES OF SAN LUIS OBISPO
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Feb 22, 2007
- Last Updated
- Dec 5, 2007
Practice Location
- Address
- 1911 JOHNSON AVE
- City
- San Luis Obispo
- State
- California
- ZIP Code
- 93401-4131
- Phone
- (805) 461-7080
Authorized Official
- Name
- DR. WILLIAM M. RUSSELL, M.D.
- Title
- MANAGING PARTNER
- Phone
- (805) 461-7080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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