Organization
DANIEL H & EMILY B GARCIA
Active
Parent organization
DANIEL H & EMILY B GARCIA
Other names
East Valley Medical Diagnostic Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
DANIEL H & EMILY B GARCIA
Authorized official
EMILY B GARCIA (ADMINISTRATOR/OWNER)
(360) 853-8183
Entity
Organization
Contact information
Practice address
7438 S D AVE STE A, CONCRETE, WA 98237-9642
(360) 853-8183
Mailing address
7438 S D AVE STE A, CONCRETE, WA 98237-9642
(360) 853-8183
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18289
LABOR & INDUSTRIES
WA
01
—
33706
REGENCE
WA
05
—
7261100
—
WA
Enumeration date
08/29/2006
Last updated
06/16/2008
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