Organization
SIERRA IMAGING ASSOCIATES MEDICAL GROUP PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DAVID ALSON M.D. (PRESIDENT)
(559) 297-0300
Entity
Organization
Contact information
Practice address
231 W FIR AVE, CLOVIS, CA 93611-0220
(559) 297-0300
(559) 323-5461
Mailing address
231 W FIR AVE, CLOVIS, CA 93611-0220
(559) 297-0300
(559) 323-5461
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC8367
RAILROAD MEDICARE ID
CA
Enumeration date
07/15/2006
Last updated
10/01/2012
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