Modesto Radiological Medical Group
NPI #1578937744 in Lafayette, California
Provider Information
- NPI Number
- 1578937744
- Entity Type
- Organization
- Organization Name
- Modesto Radiological Medical Group
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Nov 25, 2015
- Last Updated
- Nov 25, 2015
Practice Location
- Address
- 2283 HIDDEN POND LN
- City
- Lafayette
- State
- California
- ZIP Code
- 94549-1742
- Phone
- (559) 455-4009
Authorized Official
- Name
- MARK MOORE
- Title
- CFO/COO
- Phone
- (209) 342-5946
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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