Organization
STOCKDALE RADIOLOGY PHYSICIAN SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SUADI D.O. (PRESIDENT)
(661) 631-8000
Entity
Organization
Contact information
Practice address
875 WEBER CIR, # 201, VENTURA, CA 93003-8252
(661) 631-8000
(661) 631-8005
Mailing address
4000 EMPIRE DR, #100, BAKERSFIELD, CA 93309-0441
(661) 631-8000
(661) 631-8005
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A72292
CA
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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