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Eastern Sierra Radiology

Radiology, Diagnostic Radiology in Bishop, CA. Organization (NPI-2).

NPI number1790798460
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1790798460
Entity type
Organization (NPI-2)
Legal business name
Eastern Sierra Radiology
Organization subpart
No
Enumeration date
Aug 14, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic RadiologyA22120CAYes

Practice location

150 Pioneer Ln
Bishop, CA 93514-2556

Phone 760-873-2171 · Fax 626-445-0302

Mailing address

333 N Santa Anita Ave
Suite 9
Arcadia, CA 91006-2863

Phone 626-445-0004 · Fax 626-445-0302

Authorized official

John Willard Nesson
President
6264450004

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