Organization
MERIDIAN BONE DENSITY SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE QUILES RTC (RADIOLOGIC TECHNOLOGIST - OWNER)
(253) 588-7911
Entity
Organization
Contact information
Practice address
11019 CANYON RD E, PUYALLUP, WA 98373-3001
(253) 536-2972
(253) 826-4558
Mailing address
PO BOX 97115, LAKEWOOD, WA 98497-0115
(253) 588-7911
(253) 984-6774
Taxonomy
Speciality
Code
Description
License number
State
2471B0102X
Bone Densitometry Radiologic Technologist
Primary
RT00003190
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7108061
—
WA
Enumeration date
06/02/2006
Last updated
08/22/2020
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