Organization
ENUMCLAW RADIOLOGISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RICE MD (PHYSICIAN)
(916) 965-7938
Entity
Organization
Contact information
Practice address
1455 BATTERSBY AVE, ENUMCLAW, WA 98022-3634
(916) 965-7938
Mailing address
8642 AMBER OAKS CT, FAIR OAKS, CA 95628-2978
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00031208
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG2707
RETIRED RAILROAD MEDICARE
—
Enumeration date
09/26/2006
Last updated
01/11/2012
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