Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
May 22, 2008
License(s)
C178867 (CA), 244847 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 232410 | San Diego, CA 92193-2410 | |
| LOCATION | 200 W ARBOR DR | San Diego, CA 92103-9000 | 800-926-8273 |
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