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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