| Organization Name: | RADIOLOGY ASSOCIATES OF SAN LUIS OBISPO |
| NPI Number: | 1063612570 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM M. RUSSELL (MANAGING PARTNER, AUTHORIZED OFFICI) |
| Mailing Address: | 7500 Morro Road Atascadero |
| State: | CA US |
| Postal Code: | 93422 |
| Phone Number: | 8054617083 |
| Fax Number: | 8054617099 |
| NPI Enumeration Date: | 07/23/2007 |
| NPI Last Update Date: | 08/19/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |