Organization
CASSIDY MEDICAL GROUP - RADIOLOGY
Active
Parent organization
CASSIDY MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
CASSIDY MEDICAL GROUP
Authorized official
JUDITH M KRUEGER (EXECUTIVE DIRECTOR)
(760) 630-5487
Entity
Organization
Contact information
Practice address
145 THUNDER DR, VISTA, CA 92083-6010
(760) 630-5485
(760) 630-5455
Mailing address
145 THUNDER DR, VISTA, CA 92083-6010
(760) 630-5485
(760) 630-5455
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
11/30/2006
Last updated
11/07/2007
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