Organization
WESTERN WASHINGTON MEDICAL GROUP, INC PS
Active
Other names
WWMG Dept of Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
KIM HOLSTEIN (DIRECTOR)
(425) 259-4041
Entity
Organization
Contact information
Practice address
3822 COLBY AVE, SUITE 100, EVERETT, WA 98201-4913
(425) 259-4041
Mailing address
1728 W MARINE VIEW DR, SUITE 110, EVERETT, WA 98201-2094
(425) 259-4041
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
07/12/2016
Last updated
07/10/2017
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