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Organization
RADIATION MEDICAL GROUP INC
Active
Organization
RADIATION MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS G MYKING MBA (CFO/EXECUTIVE DIRECTOR)
(619) 220-4100
Entity
Organization
Contact information
Practice address
6699 ALVARADO RD, STE 2109, SAN DIEGO, CA 92120-5238
(619) 229-3838
(619) 229-3849
Mailing address
PO BOX 33865, SAN DIEGO, CA 92163-3865
(619) 220-4100
(619) 270-3423
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0062072
—
CA
Enumeration date
07/08/2005
Last updated
03/03/2009
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