Organization
RADIOLOGY MEDICAL GROUP OF NAPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW J. NICKS MD (MANAGING PHYSICIAN)
(707) 252-4633
Entity
Organization
Contact information
Practice address
100 HOSPITAL DRIVE, VALLEJO, CA 94589
(707) 551-3400
(707) 252-2240
Mailing address
PO BOX 348120, SACRAMENTO, CA 95834
(707) 252-4633
(707) 252-2240
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0016430
—
CA
Enumeration date
10/25/2006
Last updated
01/16/2008
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