Organization
MODERN MOLECULAR IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BALLOW (OWNER)
(702) 817-0375
Entity
Organization
Contact information
Practice address
7210 N MILBURN AVE STE 106, FRESNO, CA 93722-8449
(702) 817-0375
Mailing address
7210 N MILBURN AVE STE 106, FRESNO, CA 93722-8449
(702) 817-0375
Taxonomy
Speciality
Code
Description
License number
State
207UN0901X
Nuclear Cardiology Physician
Primary
—
—
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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