Organization
PROVASCULAR DIAGNOSTIC AND IMAGING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS SU MD (OWNER)
(253) 735-4341
Entity
Organization
Contact information
Practice address
202 N DIVISION ST, SUITE 200, AUBURN, WA 98001-4939
(253) 735-4341
Mailing address
202 N DIVISION ST, SUITE 200, AUBURN, WA 98001-4939
(253) 735-4341
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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