Organization
RADIOLOGY ASSOCIATES OF LEWIS COUNTY INC PC
Active
Organization
RADIOLOGY ASSOCIATES OF LEWIS COUNTY INC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT A REISWIG MD (SECRETARY)
(360) 748-4991
Entity
Organization
Contact information
Practice address
981 SOUTH MARKET BLVD, CHEHALIS, WA 98532
(360) 748-4991
(360) 748-7778
Mailing address
PO BOX 1210, 981 SOUTH MARKET BLVD LOCATION OFFICE, CHEHALIS, WA 98532
(360) 748-4991
(360) 748-7778
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0076571
WA L & I
WA
05
—
7028483
—
WA
Enumeration date
04/23/2007
Last updated
08/22/2020
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