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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
Coastal Diagnostic Center/Arroyo Grande Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
RADIOLOGY ASSOCIATES OF SAN LUIS OBISPO
Authorized official
DR. WILLIAM M RUSSELL M.D. (AUTHORIZED SIGNER)
(805) 461-7083
Entity
Organization
Contact information
Practice address
921 OAK PARK BLVD, SUITE 100B, PISMO BEACH, CA 93449-3264
(805) 461-7083
(805) 461-7093
Mailing address
PO BOX 8100, ATASCADERO, CA 93423-8100
(805) 461-7083
(805) 461-7099
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/19/2009
Last updated
08/24/2009
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