Organization
PACIFIC RADIOLOGY, INC. PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GILBERT L DROZDOW MD (PRESIDENT)
(855) 292-1401
Entity
Organization
Contact information
Practice address
520 N 4TH AVE, PASCO, WA 99301-5257
(509) 547-7704
(813) 985-8006
Mailing address
PO BOX 743850, DEPT. 40014, ATLANTA, GA 30374-3850
(813) 899-6220
(813) 985-8006
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Enumeration date
09/14/2012
Last updated
01/23/2017
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