Organization
PENINSULA IMAGING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SCOT FISHMAN M.D. (OWNER)
(360) 582-0590
Entity
Organization
Contact information
Practice address
500 W FIR ST, SUITE C, SEQUIM, WA 98382-3201
(360) 582-0590
(360) 582-0172
Mailing address
PO BOX 24322, SEATTLE, WA 98124-0322
(360) 582-0590
(360) 582-0172
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
MD00029650
WA
Other
Enumeration date
11/24/2006
Last updated
02/29/2008
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