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Organization
VANGUARD SPECIALTY IMAGING
Active
Organization
VANGUARD SPECIALTY IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT WERDEN M.D. (PRESIDENT)
(415) 722-6642
Entity
Organization
Contact information
Practice address
1345 LILLIAN AVE, SUNNYVALE, CA 94087-3523
(415) 722-6642
Mailing address
1345 LILLIAN AVE, SUNNYVALE, CA 94087-3523
(415) 722-6642
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G84749
CA
2085R0202X
Diagnostic Radiology Physician
G84749
CA
2085R0204X
Vascular & Interventional Radiology Physician
G84749
CA
208VP0014X
Interventional Pain Medicine Physician
G84749
CA
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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