Organization
RADIOLOGY ASSOCIATES OF SAN LUIS OBISPO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM M. RUSSELL M.D. (MANAGING PARTNER, AUTHORIZED OFFICI)
(805) 461-7083
Entity
Organization
Contact information
Practice address
7500 MORRO ROAD, ATASCADERO, CA 93422
(805) 461-7083
(805) 461-7099
Mailing address
PO BOX 2920, ATASCADERO, CA 93423-2920
(805) 461-7083
(805) 461-7099
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
07/23/2007
Last updated
08/19/2009
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