Providence Physician Group

NPI 1093896854 - Radiologic Technologist - 2471B0102X

NPI Details
NPI 1093896854
Enumeration Date 10/18/2006
Last Updated 03/11/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BARBARA BARBARA
Position PRO FEE CREDENTIALING MANAGER
Phone (425) 316-5180
Fax (425) 316-5181
Practice Location
12800 BOTHELL EVERETT HWY
SUITE 160
EVERETT WA, 98208-6644, US
Phone (425) 316-5180
Fax (425) 316-5181
Business Location
909 N BROADWAY
PBO/CREDENTIALING
EVERETT WA, 98201-1409, US
Phone (425) 317-0246
Fax (425) 317-0291
Toxanomy
Taxonomy Code 2471B0102X
License State
License Number
Remove 1093896854 NPI Number
 

According to our database, Providence Physician Group NPI is 1093896854, taxonomy code is 2471B0102X Providence Physician Group physically located at 12800 Bothell Everett Hwy, Everett WA, 98208-6644. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1093896854 NPI number is provided on an as is basis without warranty of any kind. 1093896854 is maintained by the National Plan & Provider Enumeration System. The contents of Providence Physician Group are for informational purposes only.