Organization
STOCKTON MRI & MOLECULAR IMAGING MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STAN FRED DOBRETZ B.S.R.T. (ADMINISTRATOR)
(209) 466-2000
Entity
Organization
Contact information
Practice address
2320 N CALIFORNIA ST, SUITE B, STOCKTON, CA 95204-5506
(209) 466-2000
(209) 466-2600
Mailing address
2320 N CALIFORNIA ST, SUITE 2, STOCKTON, CA 95204-5509
(209) 466-2000
(209) 466-2600
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
00A323210
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0099760
—
CA
Enumeration date
06/18/2006
Last updated
07/23/2014
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