Individual
BRUCE VALLADOLID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RT
Contact information
Practice address
450 N WIGET LN, WALNUT CREEK, CA 94598-2408
(925) 691-9806
(925) 691-9807
Mailing address
PO BOX 398584, SAN FRANCISCO, CA 94139-8584
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
RHF00094550
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RHF00094550
LICENSE
CA
Enumeration date
09/19/2018
Last updated
09/19/2018
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