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Organization

REDDING PORTABLE XRAY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GORDON WENDELL JONES ARRT, CRT, RT, AA (OWNER/OPERATOR)
(530) 221-8731
Entity
Organization

Contact information

Practice address
2468 BIRCHWOOD CIR, REDDING, CA 96002-3748
(530) 221-8731
(530) 221-8731
Mailing address
PO BOX 492615, REDDING, CA 96049-2615
(530) 221-8731
(530) 221-8731

Taxonomy

Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
RHF18701
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZZZ59907Z
CA
Enumeration date
11/15/2007
Last updated
05/15/2008
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