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Organization

EAST JEFFERSON RADIOLOGY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FERNANDO E LAMAS M.D (PRESIDENT)
(360) 385-0349
Entity
Organization

Contact information

Practice address
834 SHERIDAN ST, PORT TOWNSEND, WA 98368-2443
(360) 385-2200
Mailing address
PO BOX 555, PORT TOWNSEND, WA 98368-0555
(360) 385-0349
(360) 379-5503

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1078260
WA
Enumeration date
06/30/2007
Last updated
08/22/2020
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