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Individual

MCKENNA LEE BELZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
700 NE 87TH AVE STE 170, VANCOUVER, WA 98664-4896
(360) 882-2778
(360) 604-1694
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-4896
(360) 882-2778

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD181842
OR
2085R0202X
Diagnostic Radiology Physician
Primary
MD60935401
WA
390200000X
Student in an Organized Health Care Education/Training Program
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2018449
WA
Enumeration date
03/31/2012
Last updated
09/05/2019
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