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Organization
VICTORVILLE OPENSCAN MRI
Active
Organization
VICTORVILLE OPENSCAN MRI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY BRANDON (VICE PRESIDENT)
(214) 303-2776
Entity
Organization
Contact information
Practice address
12276 HESPERIA RD STE 6, VICTORVILLE, CA 92395-5838
(760) 843-0995
(760) 843-0975
Mailing address
2200 ROSS AVE, 3600 CHASE TOWER, DALLAS, TX 75201-2708
(214) 303-2776
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
CA
Other
Enumeration date
08/23/2006
Last updated
08/22/2020
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