Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Radiology |
261QR0200X | 74 | Radiation Therapy Center |
| NPI # | 1598952699 |
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| LBN Legal business name | HEAD & NECK IMAGING NORTHWEST, LLC | ||||
| Authorized official | WILLIAM BATEMAN - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 10/02/2007 | ||||
| Last updated | 10/02/2007 - About 19 years ago | ||||
| Identifiers |
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