Organization · Type 2 NPI

ST Jude Radiology Medical Group Inc

Diagnostic Radiology Physician · Fullerton, CA

NPI number 1255819892 Active

Practice location

101 E Valencia Mesa Dr
Fullerton, CA 92835-3809

Fax (916) 533-0313

Mailing address

PO Box 26570
Fresno, CA 93729-6570

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XNone listed
Vascular & Interventional Radiology Physician 2085R0204XNone listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

137 other providers at this address

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About NPI 1255819892

ST Jude Radiology Medical Group Inc's National Provider Identifier is 1255819892, issued on Aug 6, 2018. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Fullerton, CA. The record was last updated on Feb 12, 2021.