St. Jude Radiology Medical Group, INC

NPI #1558918508 in Cupertino, California

Provider Information

NPI Number
1558918508
Entity Type
Organization
Organization Name
St. Jude Radiology Medical Group, INC
Primary Specialty
Radiology - Diagnostic Radiology
Enumeration Date
Aug 23, 2019
Last Updated
Aug 23, 2019

Practice Location

Address
1177 ELMSFORD CT
ZIP Code
95014-4907
Phone
(858) 546-3800

Authorized Official

Name
AMY ELIZABETH STEELE
Title
CREDENTIALING SPECIALIST
Phone
(559) 455-4109

Specialties & Taxonomy Codes

Specialty
Radiology - Diagnostic RadiologyDiagnostic Radiology

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