Organization
GRAPEVINE RADIOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT F WOOMER MD (AUTHORIZED SIGNER)
(817) 488-7546
Entity
Organization
Contact information
Practice address
1240 LANCER DR, WALLA WALLA, WA 99362-9275
(509) 529-5541
Mailing address
PO BOX 740968, DALLAS, TX 75374-0968
(800) 563-2964
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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