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Organization

KENNEWICK RADIOLOGY GROUP, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY ELIZABETH STEELE (CREDENTIALING SPECIALIST)
(559) 455-4109
Entity
Organization

Contact information

Practice address
728 MURPHY DR, SAN MATEO, CA 94402-3421
(858) 546-3800
Mailing address
PO BOX 4030, PASCO, WA 99302-4030

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
02/06/2020
Last updated
02/06/2020
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