Individual
EDWARD A NYGARD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
981 S MARKET BLVD, CHEHALIS, WA 98532-3423
(360) 748-4991
Mailing address
981 S MARKET BLVD, CHEHALIS, WA 98532-3423
(360) 748-4991
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00015488
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1100106
—
WA
Enumeration date
06/09/2006
Last updated
07/08/2007
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