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Physicians Radiology Body Imaging

Provider NPI: 1609219153

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
19020 33RD AVE W STE 210  LYNNWOOD, WA 98036 US
Tel: 425-563-1500  Fax: 425-563-1501

Business Mailing Address:
19020 33RD AVE W STE 210  LYNNWOOD, WA 98036-4748 US
Tel: 425-563-1500  Fax: 425-563-1374

NPI Information:
NPI: 1609219153
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Body Imaging

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 2085R0204X





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