Individual
MR. MARIO BAGALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RADIOLOGY TECH
Contact information
Practice address
655 S CENTRAL VALLEY HWY, SHAFTER, CA 93263-2790
(661) 746-9194
(661) 746-9197
Mailing address
659 S CENTRAL VALLEY HWY, SHAFTER, CA 93263-2790
(661) 459-1913
(661) 459-1974
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
RHP00089002
CA
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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