Organization
PACIFIC COAST RADIOLOGY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WILNA JEAN WHEELER (ADMINISTRATOR)
(360) 581-8949
Entity
Organization
Contact information
Practice address
205 9TH AVE, ABERDEEN, WA 98520-1336
(360) 589-2359
Mailing address
205 9TH AVE, ABERDEEN, WA 98520-1336
(360) 589-2359
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD60335345
WA
2085R0202X
Diagnostic Radiology Physician
Primary
OP00001975
WA
2085R0202X
Diagnostic Radiology Physician
OP00002338
WA
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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