Organization
HEALTH AND HUMAN SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES D DWYER (RADIOLOGIC TECHNOLOGIST)
(619) 692-5654
Entity
Organization
Contact information
Practice address
3851 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(619) 692-5654
(619) 692-8584
Mailing address
PO BOX 33881, SAN DIEGO, CA 92163-3881
(619) 972-4201
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
—
—
Other
Enumeration date
03/20/2007
Last updated
08/22/2020
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