Provider First Line Business Practice Location Address:
79 SCRIPPS DR STE 100
Provider Second Line Business Practice Location Address:
DIAGNOSTIC RADIOLOGICAL IMAGING
Provider Business Practice Location Address City Name:
SACRAMENTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95825-6208
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-921-1300
Provider Business Practice Location Address Fax Number:
916-921-1095
Provider Enumeration Date:
08/24/2006