Organization
PUYALLUP IMAGING CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NELSON GOEHLE (CEO)
(253) 435-5195
Entity
Organization
Contact information
Practice address
12623 MERIDIAN E, SUITE A1, PUYALLUP, WA 98373-3469
(253) 435-5195
(253) 435-5482
Mailing address
12623 MERIDIAN E, SUITE A1, PUYALLUP, WA 98373-3469
(253) 435-5195
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
603071995
WA
Other
Enumeration date
02/25/2011
Last updated
02/25/2011
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