Organization
RELIANT RADIOLOGY MEDICAL GROUP A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT CARL BENSON MD (PRESIDENT)
(714) 488-2909
Entity
Organization
Contact information
Practice address
816 W ACEQUIA AVE, VISALIA, CA 93291-6126
(559) 627-6363
(559) 627-3627
Mailing address
PO BOX 7659, VISALIA, CA 93290-7659
(559) 627-6363
(559) 627-6367
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G39172
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0090100
—
CA
Enumeration date
11/21/2006
Last updated
04/25/2016
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