Organization
SUTTER GOULD MEDICAL FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN A MITNICK M.D. (MEDICAL DIRECTOR)
(209) 521-6097
Entity
Organization
Contact information
Practice address
3585 GORGE PL, CARLSBAD, CA 92010-7083
(209) 521-6097
Mailing address
600 COFFEE RD, PHYSICIAN SERVICES, MODESTO, CA 95355-4201
(209) 521-6097
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
05/16/2008
Last updated
05/14/2015
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