Organization
WASHINGTON NUCLEAR MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW THOMAS SHIELDS MD (OWNER)
(206) 963-5339
Entity
Organization
Contact information
Practice address
202 N DIVISION ST, PLAZA ONE, AUBURN, WA 98001-4939
(253) 333-2574
Mailing address
16243 25TH AVE SW, BURIEN, WA 98166-2611
(206) 243-1315
(253) 288-2203
Taxonomy
Speciality
Code
Description
License number
State
207UN0901X
Nuclear Cardiology Physician
MD00024085
WA
207UN0902X
Nuclear Imaging & Therapy Physician
Primary
MD00024085
WA
Other
Enumeration date
01/13/2014
Last updated
01/13/2014
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