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Organization

BAY AREA SURGICAL SPECIALISTS INC A MEDICAL CORPORATION

Active
Other names
Bay Radiology
Organization subpart
No

Provider details

NPI number
Authorized official
BONNIE POTTER (CREDENTIALING MANAGER)
(925) 948-8143
Entity
Organization

Contact information

Practice address
2242 CAMINO RAMON STE 100, SAN RAMON, CA 94583-1363
(925) 327-0015
(925) 327-0095
Mailing address
2637 SHADELANDS DR, WALNUT CREEK, CA 94598-2512
(925) 948-8143
(925) 215-4540

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
01/12/2018
Last updated
01/12/2018
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