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Organization
SUPPLEMENTAL HEALTH CARE
Active
Organization
SUPPLEMENTAL HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES CHARLES PRICE IV RT (RADIOLOGIC TECHNOLOGIST)
(206) 795-4188
Entity
Organization
Contact information
Practice address
438 BLACKHAWK DR, NEWBURY PARK, CA 91320-4803
(206) 795-4188
Mailing address
438 BLACKHAWK DR, NEWBURY PARK, CA 91320-4803
(206) 795-4188
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
WA
Other
Enumeration date
07/27/2009
Last updated
07/21/2022
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