Individual provider · Type 1 NPI

Brian W. Wistow, MD

Diagnostic Radiology Physician · Modesto, CA

NPI number 1437109709 Active

Practice location

600 Coffee Rd
Modesto, CA 95355-4201

Specialties and licenses

TaxonomyCodeLicense
Body Imaging Physician 2085B0100XA33568 (CA)
Diagnostic Radiology Physician Primary 2085R0202XA33568 (CA)
Diagnostic Ultrasound Physician 2085U0001XA33568 (CA)

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

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About NPI 1437109709

Brian W. Wistow, MD's National Provider Identifier is 1437109709, issued on May 10, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Modesto, CA. The record was last updated on Mar 1, 2011.