in Lynnwood - Vascular & Interventional Radiology

- NPI 1255442737

is a Vascular & Interventional Radiology in Lynnwood, Washington. practices all healthcare services and medical treatments related to Vascular & Interventional Radiology. The NPI Number for is 1255442737. The last update date is .

's current location address is 19020 33rd Ave W Ste 210, Lynnwood, Washington. You can contact this provider via phone number 4255631500 and fax number 4255631374. The mailing address for is 19020 33rd Ave W Ste 210, Lynnwood, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 19020 33rd Ave W Ste 210, Lynnwood, Washington
Phone Number 4255631500
Fax Number 4255631374
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1255442737
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 19020 33rd Ave W Ste 210
City Lynnwood
State Washington (WA)
Post Code 980364748
Phone Number 4255631500
Fax Number 4255631374

Provider's Primary Taxonomy Detail

Speciality Vascular & Interventional Radiology
Taxonomy 2085R0204X
Licence No M-12272
Definition:
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
384223 WA L&I-RADIA KING COUNTY
1255442737 ID --
2007508 WA --
224089 WA L&I-EVERGREEN RADIA
263398 WA L&I-RADIA REST OF WA
384226 WA L&I-SWEDISH RADIA EDMONDS

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