Brian W Wistow is a Body Imaging in Modesto, California. Brian W Wistow practices all healthcare services and medical treatments related to Body Imaging. The NPI Number for Brian W Wistow is 1437109709. The last update date is 2011-03-01.
Brian W Wistow's current location address is 600 Coffee Rd, Modesto, California. You can contact this provider via phone number 2095241211. The mailing address for Brian W Wistow is 600 Coffee Rd, Modesto, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Brian W Wistow |
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Address | 600 Coffee Rd, Modesto, California |
Phone Number | 2095241211 |
Fax Number | |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1437109709 |
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Provider Enumeration Date | 2006-05-10 |
Last Updated Date | 2011-03-01 |
Provider Mailing Address Detail
Address | 600 Coffee Rd |
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City | Modesto |
State | California (CA) |
Post Code | 953554201 |
Phone Number | 2095241211 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Body Imaging |
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Taxonomy | 2085B0100X |
Licence No | A33568 |
Definition: A Radiology doctor of Osteopathy that specializes in Body Imaging. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
00A335680 | CA | -- |
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What is the unique 10-digit identifier code assigned to Brian W Wistow by the Centers for Medicare & Medicaid Services?
The Brian W Wistow has been issued the NPI (National Provider Identifier) 1437109709 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Brian W Wistow's physical address?
The Brian W Wistow is physically located at 600 Coffee Rd, in the city of Modesto, CA, with the postal code 953554201.
What is Brian W Wistow's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Brian W Wistow is Body Imaging, and the taxonomy code that classifies this field of practice is 2085B0100X.
On what date did the Brian W Wistow receive its 1437109709 assignment from the Centers for Medicare & Medicaid Services?
The Brian W Wistow was assigned its 1437109709 by the Centers for Medicare & Medicaid Services on 2006-05-10.
As of what date were the details pertaining to Brian W Wistow last refreshed?
The information related to the Brian W Wistow, including its address, specialty, and other relevant details, was last updated on 2011-03-01.
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