| NPI | 1144489824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW DESROSIERS Practice Administrator 360-428-7212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-06-06 |