Organization
ADVANCED CRANIOFACIAL IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE ELTZROTH (OWNER)
(530) 520-6682
Entity
Organization
Contact information
Practice address
2615 FOREST AVE, SUITE 130, CHICO, CA 95928-4383
(530) 520-6682
(530) 343-3482
Mailing address
2615 FOREST AVE, SUITE 130, CHICO, CA 95928-4383
(530) 520-6682
(530) 343-3482
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
04/06/2009
Last updated
04/06/2009
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