Organization
RADIOGRAPHIC DIGITIZATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE A FRAGA DC (PRESIDENT)
(509) 546-4843
Entity
Organization
Contact information
Practice address
209 N 3RD AVE, PASCO, WA 99301-5315
(509) 546-4843
Mailing address
209 N 3RD AVE, PASCO, WA 99301-5315
(509) 546-4843
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CH00002378
WA
Other
Enumeration date
12/14/2007
Last updated
12/14/2007
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