Organization
NORTH BAY RADIOLOGY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WESLEY EATON ROOT (PRESIDENT)
(707) 261-7880
Entity
Organization
Contact information
Practice address
3800 JANES RD, ARCATA, CA 95521-4742
(707) 825-4972
(707) 825-4919
Mailing address
PO BOX 3222, NAPA, CA 94558-0293
(707) 261-7823
(707) 256-3508
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A23851
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A238510
—
CA
Enumeration date
08/05/2006
Last updated
09/09/2013
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