Organization Name: | IMAGE GUIDED THERAPEUTICS, INC. |
NPI Number: | 1316968910 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL TAYLOR (CEO) |
Mailing Address: | 450 Stanyan St San Francisco |
State: | CA US |
Postal Code: | 941171079 |
Phone Number: | 4157505770 |
Fax Number: | |
NPI Enumeration Date: | 07/21/2006 |
NPI Last Update Date: | 07/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | A8300022 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |