Radiology Associates of San Luis Obispo
NPI #1417182510 in Pismo Beach, California
Provider Information
- NPI Number
- 1417182510
- 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
- Specialist
- Enumeration Date
- May 19, 2009
- Last Updated
- Aug 24, 2009
Practice Location
- Address
- 921 OAK PARK BLVD
- Address 2
- SUITE 100B
- City
- Pismo Beach
- State
- California
- ZIP Code
- 93449-3264
- Phone
- (805) 461-7083
Authorized Official
- Name
- DR. WILLIAM M RUSSELL, M.D.
- Title
- AUTHORIZED SIGNER
- Phone
- (805) 461-7083
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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