Organization · Type 2 NPI
Modesto Radiological Medical Group, Inc
Diagnostic Radiology Physician · Roseville, CA
NPI number
1760856934
Active
Practice location
2132 Lysander Way
Roseville, CA 95661-3220
Fax (916) 533-0023
Mailing address
1524 Mchenry Ave, Suite 430
Modesto, CA 95350-4500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | None listed |
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 1760856934
Modesto Radiological Medical Group, Inc's National Provider Identifier is 1760856934, issued on Nov 25, 2015. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Roseville, CA. The record was last updated on Nov 25, 2015.