SUTTER GOULD MEDICAL FOUNDATION NPI 1316993611

NPI Information

SUTTER GOULD MEDICAL FOUNDATION is a diagnostic radiology radiology in Seattle, WA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SUTTER GOULD MEDICAL FOUNDATION NPI is 1316993611. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Radiology.

The provider's business location address is:

3846 CASCADIA AVE S
SEATTLE, WA
ZIP 98118-129
Phone: (209) 521-6097

The provider's authorized official is Steven A Mitnick .
The authorized official title is Medical Director and has the following contact phone number (209) 521-6097.

The CLIA number assigned to this NPI record is 05D0610690 - other - medical foundation with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 4/1/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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