Organization
WILLIAM L MASSIE
Active
Other names
Advanced Diagnostic Ultrasound
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM L MASSIE (CFO)
(951) 929-7600
Entity
Organization
Contact information
Practice address
1600 E FLORIDA AVE STE 315, HEMET, CA 92544-8639
(951) 929-7600
(951) 750-5089
Mailing address
1600 E FLORIDA AVE STE 315, HEMET, CA 92544-8639
(951) 929-7600
(951) 750-5089
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
10768
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10768
SONOGRAPHER LICENSE NUMBER
CA
Enumeration date
05/26/2011
Last updated
07/24/2012
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