Organization
WOMEN'S IMAGING SPECIALISTS IN HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CHARLES SMITH M.D. (SECRETARY/TREASURER OF PARTNER WRMG)
(559) 272-2933
Entity
Organization
Contact information
Practice address
5765 N FRESNO ST, STE 105, FRESNO, CA 93710-6092
(559) 272-2933
Mailing address
PO BOX 4467, FRESNO, CA 93744-4467
(559) 272-2933
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF5384
RAILROAD MEDICARE GRP ID
CA
Enumeration date
07/17/2006
Last updated
06/21/2010
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