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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 (COO)
(858) 888-7700
Entity
Organization
Contact information
Practice address
701 E GRAND AVE, STE 200, ESCONDIDO, CA 92025-4404
(760) 839-7370
(858) 888-7758
Mailing address
PO BOX 33865, SAN DIEGO, CA 92163-3865
(858) 888-7700
(858) 888-7721
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0062073
—
CA
Enumeration date
07/11/2005
Last updated
12/28/2011
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