Organization
GABILAN RADIOLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT B SKOR MD (OWNER)
(831) 636-2650
Entity
Organization
Contact information
Practice address
911 SUNSET DR, HOLLISTER, CA 95023
(831) 636-2650
(831) 636-2605
Mailing address
PO BOX 26570, FRESNO, CA 95023
(559) 455-4000
(559) 455-4005
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0016001
—
CA
Enumeration date
05/05/2006
Last updated
12/28/2007
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