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Organization

R ROBERT WYCOFF MD INC

Active
Other names
Oak Tree Radiology Medical Corp
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT EDMUND WYCOFF BA (ADMINISTRATOR)
(626) 577-2525
Entity
Organization

Contact information

Practice address
751 CORDOVA ST, STE 1, PASADENA, CA 91101-2617
(626) 577-2424
(626) 577-2995
Mailing address
751 CORDOVA ST, STE 1, PASADENA, CA 91101-2617
(626) 577-2424
(626) 577-2995

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
CA
2085R0204X
Vascular & Interventional Radiology Physician
CA

Other

Enumeration date
09/11/2006
Last updated
08/28/2008
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