Organization · Type 2 NPI
Premierescan PC
Radiology Clinic/Center · San Jose, CA
NPI number
1083720304
Active
Practice location
2324 Montpelier Dr Ste 7
San Jose, CA 95116-1612
Fax (408) 708-4454
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology Clinic/Center Primary | 261QR0200X | G59447 (CA) |
Radiology Clinic/Center: Definition to come...
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About NPI 1083720304
Premierescan PC's National Provider Identifier is 1083720304, issued on Aug 21, 2006. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in San Jose, CA. The record was last updated on Feb 28, 2018.