Organization
RADIOLOGY ASSOCIATES PC
Active
Organization
RADIOLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHAN THIEDE MD (PRESIDENT)
(541) 681-8586
Entity
Organization
Contact information
Practice address
445 HARLOW RD, SPRINGFIELD, OR 97477-1340
(541) 681-8586
(775) 624-9774
Mailing address
PO BOX 53, EUGENE, OR 97440-0053
(541) 687-7134
(775) 624-9774
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165704
—
OR
05
—
710762
—
WA
Enumeration date
07/03/2006
Last updated
12/06/2024
Update your record
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