Organization
RADIOLOGY ASSOC OF THE DESERT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD WADE RN (ADMIN ASST)
(760) 346-6413
Entity
Organization
Contact information
Practice address
44215 MONTEREY AVE, PALM DESERT, CA 92260
(760) 346-6413
(760) 340-1968
Mailing address
PO BOX 1595, RANCHO MIRAGE, CA 92270
(760) 346-6413
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0099830
—
CA
Enumeration date
10/17/2006
Last updated
08/22/2020
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