MODESTO RADIOLOGICAL MEDICAL GROUP INC NPI 1063953362

NPI Information

MODESTO RADIOLOGICAL MEDICAL GROUP, INC is a diagnostic radiology radiology in San Francisco, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MODESTO RADIOLOGICAL MEDICAL GROUP, INC NPI is 1063953362. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1200 4TH ST
APT 103
SAN FRANCISCO, CA
ZIP 94158-392
Phone: (559) 455-4009
Fax: (916) 533-0313

The provider's authorized official is Mark E Moore .
The authorized official title is Cfo/coo and has the following contact phone number (559) 455-4009.

The enumeration date for this NPI number is 3/20/2017 and was last updated on 3/20/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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