NPI | 1922095694 |
---|---|
Doing Business As | EVERGREEN RADIA |
Entity Type | Organization |
Authorized Contact | LLOYD STAMBAUGH President 425-563-1500 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA 602317167) |
Enumeration Date | 2005-09-28 |
Last Update Date | 2018-09-12 |