Individual
MR. SCOTT DAVID INTRABARTOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRT
Contact information
Practice address
11995 MOUNTAIN PASS RD, SAN DIEGO, CA 92128-5261
(858) 679-8770
Mailing address
PO BOX 1564, POWAY, CA 92074-1564
(858) 679-8770
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
RHF48582
CA
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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