Organization
PACIFIC NORTHWEST RADIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BURT LOESSBERG (AUTHORIZED OFFICIAL)
(541) 687-7134
Entity
Organization
Contact information
Practice address
310 BENNETT ST, WRANGELL, AK 99929
(907) 874-7000
Mailing address
PO BOX 26570, FRESNO, CA 93729-6570
(541) 687-7134
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
314344
AK
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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