Organization
RADIOLOGY SPECIALISTS P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH LEE GENDREAU (PRESIDENT)
(425) 327-9277
Entity
Organization
Contact information
Practice address
4032 E MERCER WAY, MERCER ISLAND, WA 98040-3822
(253) 572-2225
(253) 572-2356
Mailing address
PO BOX 1633, MERCER ISLAND, WA 98040-1633
(425) 327-9277
(206) 275-3109
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OP00001710
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1120617
—
WA
Enumeration date
02/27/2007
Last updated
03/18/2015
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