Provider First Line Business Practice Location Address:
1959 N.E.PACIFIC ST, BOX 357115
Provider Second Line Business Practice Location Address:
UNIVERSITY OF WASHINGTON MEDICAL CTR DEPT OF RADIOLOGY
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98195
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-598-5130
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/04/2008