NPI | 1306097126 |
---|---|
Doing Business As | PROVIDENCE MEDICAL GROUP SOUTHEAST WASHINGTON IMAGING |
Entity Type | Organization |
Authorized Contact | MICHAEL PARENTEAU Chief Financial Officer 509-522-5890 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
Enumeration Date | 2008-10-10 |
Last Update Date | 2012-09-25 |