Organization Name: | VALLEY MRI AND RADIOLOGY INC |
NPI Number: | 1568756096 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM A FEDERAL (MD/PRESIDENT) |
Mailing Address: | 546 E Pine St Stockton |
State: | CA US |
Postal Code: | 952045525 |
Phone Number: | 2094671000 |
Fax Number: | 2094677335 |
NPI Enumeration Date: | 06/01/2011 |
NPI Last Update Date: | 06/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | C35905 |
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. |