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Organization
THE RADIATION MEDICAL GROUP INC
Active
Organization
THE RADIATION MEDICAL GROUP INC
Active
Other names
RADIOSURGERY MEDICAL GROUP INC
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS MYKING (CFO/EXECUTIVE DIRECTOR)
(619) 220-4100
Entity
Organization
Contact information
Practice address
5395 RUFFIN RD, STE 103, SAN DIEGO, CA 92123-1338
(858) 505-4100
(858) 751-0601
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
—
7306137
—
CA
Enumeration date
07/06/2006
Last updated
12/20/2011
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