Organization
VALLEY NUCLEAR MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK BERNARD MD (PRESIDENT)
(559) 449-3109
Entity
Organization
Contact information
Practice address
1303 E HERNDON AVE, FRESNO, CA 93720-3309
(559) 449-3109
Mailing address
PO BOX 6102, NOVATO, CA 94948-6102
(415) 884-3404
Taxonomy
Speciality
Code
Description
License number
State
207UN0902X
Nuclear Imaging & Therapy Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC9085
RAILROAD MEDICARE PIN
—
05
—
GR0069140
—
CA
Enumeration date
05/11/2006
Last updated
09/30/2008
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