Organization
STAT RADIOLOGY MEDICAL CORPORATION
Active
Other names
Same
Organization subpart
No
Provider details
NPI number
Authorized official
MANAL M. SCHOELLERMAN M.D. (PRACTICE ADMINISTRATOR)
(858) 546-3800
Entity
Organization
Contact information
Practice address
13915 DANIELSON ST, SUITE 200, POWAY, CA 92064-8884
(858) 546-3800
(858) 546-3900
Mailing address
13915 DANIELSON ST, SUITE 200, POWAY, CA 92064-8884
(858) 546-3800
(858) 546-3900
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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