Individual
SUSAN J RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
393 E WALNUT ST, 3RD FLOOR SE PHRF, PASADENA, CA 91188-0001
(626) 405-7194
Mailing address
393 E WALNUT ST, 3RD FLOOR SE PHRF, PASADENA, CA 91188-0001
(626) 405-7194
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
G65466
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G54660
—
CA
Enumeration date
08/11/2006
Last updated
07/11/2012
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