Organization · Type 2 NPI

Radiology Associates of San Luis Obispo

Radiology Clinic/Center · Santa Maria, CA

NPI number 1710951603 Active

Practice location

522 E Plaza Dr
Santa Maria, CA 93454-6908

Call (805) 928-3673 Map

Fax (805) 928-9588

Mailing address

PO Box 2920
Atascadero, CA 93423-2920

Specialties and licenses

Taxonomy	Code	License
Radiology Clinic/Center Primary	261QR0200X	None listed

Radiology Clinic/Center: Definition to come...

Other radiology clinic/center providers in Santa Maria

Radiology Associates of San Luis ObispoRadiology Clinic/Center Santa Maria, CA NPI 1275507212

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NPI record

NPI: 1710951603
Entity type: Organization (Type 2)
Issued: Feb 15, 2006
Last updated: Dec 5, 2007
Status: Active
Subpart: Yes of Radiology Associates of San Luis Obispo

Other names

<unavail>
Digital Medical Imaging · doing business as

Authorized official

Dr. William M. Russell, MD
Managing Partner
(805) 461-7080

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1710951603

Radiology Associates of San Luis Obispo's National Provider Identifier is 1710951603, issued on Feb 15, 2006. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Santa Maria, CA. The record was last updated on Dec 5, 2007.