Organization
SOLANO IMAGING MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES B BRONK M.D. (MANAGING PARTNER)
(707) 261-7880
Entity
Organization
Contact information
Practice address
1200 B GALE WILSON BLVD, FAIRFIELD, CA 94533-3552
(707) 646-5100
(707) 429-7997
Mailing address
PO BOX 3222, NAPA, CA 94558-0293
(707) 261-7804
(707) 256-3508
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0046110
—
CA
05
—
GR0046111
—
CA
05
—
GR0046112
—
CA
05
—
GR0046115
—
CA
Enumeration date
04/25/2006
Last updated
09/09/2013
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