Individual
MICHAEL KOMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RT
Contact information
Practice address
429 LLEWELLYN AVE, CAMPBELL, CA 95008-1948
(408) 364-1616
Mailing address
429 LLEWELLYN AVE, CAMPBELL, CA 95008-1948
(408) 364-1616
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
RHF94509
CA
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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