Great Plains Radiology Pllc
NPI #1104558915 in Camas, Washington
Provider Information
- NPI Number
- 1104558915
- Entity Type
- Organization
- Organization Name
- Great Plains Radiology Pllc
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Jun 29, 2022
- Last Updated
- Jan 27, 2023
Practice Location
- Address
- 4381 NW WATER LILY PL
- City
- Camas
- State
- Washington
- ZIP Code
- 98607-8843
- Phone
- (817) 881-2765
Authorized Official
- Name
- DUSTIN D NGUYEN, DO
- Title
- OWNER
- Phone
- (817) 881-2765
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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