Organization
VALLEY MRI CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM AUBREY FEDERAL M.D. (SUPERVISOR)
(209) 467-1000
Entity
Organization
Contact information
Practice address
546 E PINE ST, STOCKTON, CA 95204-5525
(209) 467-1000
(209) 467-7335
Mailing address
546 E PINE ST, STOCKTON, CA 95204-5525
(209) 467-1000
(209) 467-7335
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C359051
—
CA
Enumeration date
06/18/2006
Last updated
02/04/2010
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