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Organization
RADIOLOGY ASSOC OF THE DESERT INC
Active
Organization
RADIOLOGY ASSOC OF THE DESERT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD WADE RN (ADMIN ASST)
(760) 346-6413
Entity
Organization
Contact information
Practice address
44215 MONTEREY AVE, PALM DESERT, CA 92260
(760) 346-6413
(760) 340-1968
Mailing address
PO BOX 1595, RANCHO MIRAGE, CA 92270
(760) 346-6413
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0099830
—
CA
Enumeration date
10/17/2006
Last updated
08/22/2020
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