South Sound Radiology - Lewis County
NPI #1255677118 in Centralia, Washington
Provider Information
- NPI Number
- 1255677118
- Entity Type
- Organization
- Organization Name
- South Sound Radiology - Lewis County
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SOUTH SOUND RADIOLOGIST INC P S
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Dec 21, 2012
- Last Updated
- Apr 18, 2014
Practice Location
- Address
- 914 S SCHEUBER RD
- City
- Centralia
- State
- Washington
- ZIP Code
- 98531-9027
- Phone
- (360) 330-8508
Authorized Official
- Name
- MRS. STEPHANIE R DIRCKX, M.D.
- Title
- EXECUTIVE DIRECTOR
- Phone
- (360) 493-4612
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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