Individual
RUSS K REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RT
Contact information
Practice address
220 25TH ST NE, EAST WENATCHEE, WA 98802-4097
(509) 884-0602
(509) 884-0602
Mailing address
220 25TH ST NE, EAST WENATCHEE, WA 98802-4097
(509) 884-0602
(509) 884-0602
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
RT00003044
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7015290
—
WA
Enumeration date
01/31/2007
Last updated
01/08/2008
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