Modesto Radiological Medical Group, INC
NPI #1992170542 in San Mateo, California
Provider Information
- NPI Number
- 1992170542
- Entity Type
- Organization
- Organization Name
- Modesto Radiological Medical Group, INC
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Dec 8, 2015
- Last Updated
- Oct 4, 2017
Practice Location
- Address
- 728 MURPHY DR
- City
- San Mateo
- State
- California
- ZIP Code
- 94402-3421
- Phone
- (599) 455-4009
Authorized Official
- Name
- MARK MOORE
- Title
- CFO
- Phone
- (209) 342-5946
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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