Organization
NORTH STAR MEDICAL IMAGING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW DESROSIERS (PRACTICE ADMINISTRATOR)
(360) 428-7212
Entity
Organization
Contact information
Practice address
125 N 18TH ST STE C, MOUNT VERNON, WA 98273-3902
(360) 424-6161
(360) 848-1167
Mailing address
125 N 18TH ST STE C, MOUNT VERNON, WA 98273-3902
(360) 424-6161
(360) 848-1167
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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