Organization
GREAT PLAINS RADIOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN D NGUYEN DO (OWNER)
(817) 881-2765
Entity
Organization
Contact information
Practice address
4381 NW WATER LILY PL, CAMAS, WA 98607-8843
(817) 881-2765
(817) 259-2759
Mailing address
4381 NW WATER LILY PL, CAMAS, WA 98607-8843
(817) 881-2765
(817) 259-2759
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
01/27/2023
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