Stephen Lindsay Viltrakis, M D | |
3300 Renner Dr., Fortuna, CA 95540 | |
(707) 725-3361 | |
Not Available |
Full Name | Stephen Lindsay Viltrakis |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 3300 Renner Dr., Fortuna, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992891295 | NPI | - | NPPES |
00G723570 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | G72357 (California) | Primary |
Entity Name | Humboldt Radiology Medical Group,inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326154196 PECOS PAC ID: 4082500046 Enrollment ID: O20041217000800 |
Mailing Address | Practice Location Address |
---|---|
Stephen Lindsay Viltrakis, M D P. O. Box 6640, Eureka, CA 95502 Ph: (707) 445-5431 | Stephen Lindsay Viltrakis, M D 3300 Renner Dr., Fortuna, CA 95540 Ph: (707) 725-3361 |
Dr. William M French, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3300 Renner Dr, Fortuna, CA 95540 Phone: 707-725-3361 | |
Dr. Gary Hungerford Baker, M D Radiology Medicare: Not Enrolled in Medicare Practice Location: 3300 Renner Dr, Fortuna, CA 95540 Phone: 707-725-3361 | |
Dr. Francis W Cutruzzola, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3300 Renner Dr, Fortuna, CA 95540 Phone: 707-725-3361 |