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Organization
RADIOLOGY ASSOCIATES OF SAN LUIS OBISPO
Active
Organization
RADIOLOGY ASSOCIATES OF SAN LUIS OBISPO
Active
Parent organization
RADIOLOGY ASSOCIATES OF SAN LUIS OBISPO
Other names
Santa Maria MRI
Organization subpart
Yes
Provider details
NPI number
Legal business name
RADIOLOGY ASSOCIATES OF SAN LUIS OBISPO
Authorized official
DR. WILLIAM M. RUSSELL (MANAGING PARTNER)
(805) 461-7080
Entity
Organization
Contact information
Practice address
523 BARCELLUS, SANTA MARIA, CA 93454
(085) 928-3673
(805) 928-9588
Mailing address
PO BOX 2920, ATASCADERO, CA 93423-2920
(805) 461-7080
(805) 464-0243
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0009774
—
CA
Enumeration date
02/15/2006
Last updated
12/05/2007
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