Organization
SUTTER GOULD MEDICAL FOUNDATION
Active
Other names
Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN A MITNICK MD (MEDICAL DIRECTOR)
(209) 521-6097
Entity
Organization
Contact information
Practice address
3846 CASCADIA AVE S, SEATTLE, WA 98118-1129
(209) 521-6097
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
(209) 521-4081
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
05/26/2006
Last updated
04/01/2015
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