Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Feb 24, 2006
License(s)
A70121 (CA), A70121 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 751 S BASCOM AVE DIAGOSTIC IMAGING DEPT | San Jose, CA 95128-2604 | 408-885-5000 |
| MAILING | 751 S BASCOM AVE DI DEPT | San Jose, CA 95128-2604 | 408-885-5000 |
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