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Physicians Radiology Radiation Oncology

Provider NPI: 1942525423

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
1570 N 115TH ST  SEATTLE, WA 98133-8401 US
Tel: 206-306-2804  Fax: --

Business Mailing Address:
PO BOX 50095  SEATTLE, WA 98145-5095 US
Tel: 206-543-6420  Fax: --

NPI Information:
NPI: 1942525423
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Radiation Oncology

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 2085R0001X





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