| NPI | 1558436451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SCOT FISHMAN Owner 360-582-0590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: WA MD00029650) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2008-02-29 |