Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Jul 1, 2009
License(s)
45331 (AZ), P8206 (TX), 35.098172 (OH), DR.0050478 (CO), ME130339 (FL), MD61352043 (WA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1304 FAWCETT AVE STE 100 | Tacoma, WA 98402-1900 | 253-761-4200 |
| LOCATION | 2502 S UNION AVE | Tacoma, WA 98405-1328 | 253-841-4653 |
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