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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRIAN W WISTOW, M.D.

Active

BRIAN W WISTOW, M.D. is a Diagnostic Radiology healthcare provider located in MODESTO, California. NPI 1437109709 is currently active in the NPPES registry. Verify at CMS.

Diagnostic Radiology · MODESTO, CA

Registration Details

NPI Number
1437109709
Provider Type
Individual
Gender
Male
NPI Issued
May 10, 2006 (20.273384159619 yrs)
Last Updated
Mar 1, 2011
Licenses
A33568 (CA)
A33568 (CA)
A33568 (CA)

Practice Information

Address
600 COFFEE RD
MODESTO, CA, 953554201
Browse CA providers · Browse ZIP 95355
Phone
2095241211
Primary Specialty
Diagnostic Radiology
2085R0202X
Additional Specialty
Diagnostic Radiology
Additional Specialty
Diagnostic Ultrasound

Other Diagnostic Radiology Providers in MODESTO, CA

Name Credential NPI
SERGE DJUKIC MD 1992705230
MATTHEW BRENT WARD M.D. 1215907217
KEVIN TAE IL WHANG M.D. 1063460301
MICHAEL R. KLIEGER MD 1114975588
DAVID Y LI D.O. 1114975646
ROY D SNABLE M.D. 1649229451
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.