Organization
PLAZA RADIOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL EDWARD FRIEST RTR (OWNER OPERATOR)
(360) 676-4190
Entity
Organization
Contact information
Practice address
3015 SQUALICUM PARKWAY, SUITE 130, BELLINGHAM, WA 98225-1906
(360) 676-4190
(360) 676-4349
Mailing address
PO BOX 2478, BELLINGHAM, WA 98227-2478
(360) 676-8476
(360) 738-1946
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
RT00000048
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7131832
—
WA
Enumeration date
08/15/2006
Last updated
08/22/2020
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