Organization · Type 2 NPI
ST Marys Radiology Medical Group
Specialist · Long Beach, CA
NPI number
1043258676
Active
Practice location
1045 Atlantic Ave, Suite 105
Long Beach, CA 90813-3408
Fax (562) 624-0741
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1043258676
ST Marys Radiology Medical Group's National Provider Identifier is 1043258676, issued on Jun 4, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Long Beach, CA. The record was last updated on Apr 9, 2014.