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NPI Code Detail

MEDICARE: NUCLEAR PHYSICIANS MEDICAL GROUP

MEDICARE: NUCLEAR PHYSICIANS MEDICAL GROUP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207U00000XNuclear Medicine Physician

General Provider Information

NPI Number : 1790875052
Entity Type Code : Organization
Provider Name (Legal Business Name) : NUCLEAR PHYSICIANS MEDICAL GROUP
Provider Business Mailing Address
First Line : PO BOX 1202
Second Line :
City : ORANGEVALE
State : CA
Zip : 95662-1202
Country : US
Telephone Number : 916-989-9044
Fax Number : 916-988-5288
Provider Business Practice Location Address
First Line : 7500 HOSPITAL DR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95823-5403
Country : US
Telephone Number : 916-989-9044
Fax Number : 916-988-5288
Authorized Official
Title or Position : MANAGING PARTNER
Name : DR. CRAIG WEINER
Credential : M.D.
Telephone Number : 916-989-9044
Provider Enumeration Date : 10/14/2006
Last Update Date : 08/22/2020

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Directions to “NUCLEAR PHYSICIANS MEDICAL GROUP ” Practice Location

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