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Organization

OVERLAKE IMAGING ASSOCIATES PC

Active
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Organization

OVERLAKE IMAGING ASSOCIATES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK J PFLEGER M.D. (PRESIDENT)
(425) 502-8362
Entity
Organization

Contact information

Practice address
1417 116TH AVE NE STE 212, BELLEVUE, WA 98004-3821
(425) 502-8362
Mailing address
PO BOX 24226, SEATTLE, WA 98124-0226
(877) 556-1057
(800) 508-4751

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
WA
2085R0204X
Vascular & Interventional Radiology Physician
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
109450
L&I
WA
05
7078454
WA
01
CD3333
RAILROAD MEDICARE
Enumeration date
02/15/2006
Last updated
03/06/2013
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