Organization
GOLDEN STATE RADIOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT VAULES (PRACTICE MANAGER)
(480) 680-1291
Entity
Organization
Contact information
Practice address
10458 E JOMAX RD STE 100, SCOTTSDALE, AZ 85262-6069
(480) 680-1291
(480) 630-0851
Mailing address
10458 E JOMAX RD STE 100, SCOTTSDALE, AZ 85262-6069
(480) 680-1291
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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