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Organization

SKYWEST MEDICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RANDALL CALDRON MD (MEDICAL DIRECTOR)
(818) 923-8812
Entity
Organization

Contact information

Practice address
9420 RESEDA BLVD # 503, NORTHRIDGE, CA 91324-2932
(818) 581-8396
(818) 280-6499
Mailing address
9420 RESEDA BLVD # 503, NORTHRIDGE, CA 91324-2932
(818) 581-8396

Taxonomy

Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary

Other

Enumeration date
05/03/2021
Last updated
05/03/2021
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