Russell Robert Wycoff in Pasadena - Vascular & Interventional Radiology

Russell Robert Wycoff - NPI 1740384304

Russell Robert Wycoff is a Vascular & Interventional Radiology in Pasadena, California. Russell Robert Wycoff practices all healthcare services and medical treatments related to Vascular & Interventional Radiology. The NPI Number for Russell Robert Wycoff is 1740384304. The last update date is 2007-07-08.

Russell Robert Wycoff's current location address is 751 Cordova Street, Pasadena, California. You can contact this provider via phone number 6265772424 and fax number 6265772995. The mailing address for Russell Robert Wycoff is 751 Cordova Street, Pasadena, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Russell Robert Wycoff
Address 751 Cordova Street, Pasadena, California
Phone Number 6265772424
Fax Number 6265772995
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1740384304
Provider Enumeration Date 2006-09-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 751 Cordova Street
City Pasadena
State California (CA)
Post Code 911012617
Phone Number 6265772424
Fax Number 6265772995

Provider's Primary Taxonomy Detail

Speciality Vascular & Interventional Radiology
Taxonomy 2085R0204X
Licence No G16750
Definition:
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

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FAQs about Russell Robert Wycoff

What is the unique 10-digit identification code assigned to Russell Robert Wycoff by the Centers for Medicare & Medicaid Services?

The Russell Robert Wycoff has been issued the NPI (National Provider Identifier) 1740384304, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Russell Robert Wycoff?

The Russell Robert Wycoff is situated at 751 Cordova Street, in the city of Pasadena, state of CA, with the zip code 911012617.

What is the area of specialization for Russell Robert Wycoff, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Russell Robert Wycoff is Vascular & Interventional Radiology, and the corresponding taxonomy code that categorizes this area of expertise is 2085R0204X.

On what date did the Russell Robert Wycoff receive the assignment of its 1740384304 from the Centers for Medicare & Medicaid Services?

The Russell Robert Wycoff was issued its 1740384304 by the Centers for Medicare & Medicaid Services on 2006-09-12.

As of what date were the Russell Robert Wycoff's details last updated?

The information pertaining to the Russell Robert Wycoff, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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