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Individual

JAMES BRADLEY SUMMERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 524-1211
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 524-1211

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A99602
CA
2085R0203X
Therapeutic Radiology Physician
A99602
CA
2085R0204X
Vascular & Interventional Radiology Physician
A99602
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009939812
AL
Enumeration date
09/28/2006
Last updated
02/07/2011
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