Modesto Radiological Medical Group
Modesto Radiological Medical Group is a Diagnostic Radiology Physician in Lafayette, California. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
2283 Hidden Pond LnLafayette, CA 94549-1742
Phone: (559) 455-4009
Fax: (916) 533-0023
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X |
|---|
Record details
| NPI number | 1578937744 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Moore — Cfo/Coo · (209) 342-5946 |
| NPI enumerated | November 25, 2015 |
| Last updated in NPPES | November 25, 2015 |
| Mailing address | 1524 McHenry Ave, Suite 430, Modesto, CA 95350-4500 |
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