Organization
COLUMBIA BASIN IMAGING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWANE BRITTAIN (PRESIDENT)
(509) 943-5616
Entity
Organization
Contact information
Practice address
953 STEVENS DR, STE#C, RICHLAND, WA 99352-3533
(509) 943-5616
(509) 943-9272
Mailing address
PO BOX 5230, PASCO, WA 99302-5201
(509) 943-5616
(509) 943-9272
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7038102
—
WA
Enumeration date
03/28/2007
Last updated
11/01/2012
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