Michael Connor, MD | |
4525 3rd Ave Se # 100, Lacey, WA 98503-1010 | |
(360) 412-8960 | |
Not Available |
Full Name | Michael Connor |
---|---|
Gender | Male |
Speciality | Radiology - Radiation Oncology |
Location | 4525 3rd Ave Se # 100, Lacey, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285165142 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | MD61319209 (Washington) | Primary |
Entity Name | Radiantcare Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851378160 PECOS PAC ID: 6608869581 Enrollment ID: O20040406001285 |
Mailing Address | Practice Location Address |
---|---|
Michael Connor, MD 3855 Health Sciences Drive, Mc 0843, La Jolla, CA 92093 Ph: () - | Michael Connor, MD 4525 3rd Ave Se # 100, Lacey, WA 98503-1010 Ph: (360) 412-8960 |
Justin William Suszko, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4525 3rd Ave Se Ste 100, Lacey, WA 98503 Phone: 360-412-8960 Fax: 360-412-8970 | |
Joseph Robert Hartman, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4525 3rd Ave Se, Suite 100, Lacey, WA 98503 Phone: 360-412-8960 Fax: 360-412-8970 | |
Haleigh Ann Werner, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4525 3rd Ave Se, Suite 100, Lacey, WA 98503 Phone: 360-412-8960 Fax: 360-412-8970 | |
Gregory W Allen, M.D., PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4525 3rd Ave Se, Suite 100, Lacey, WA 98503 Phone: 360-412-8960 Fax: 360-412-8970 | |
James F Raymond, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4525 3rd Ave Se, Suite 100, Lacey, WA 98503 Phone: 360-412-8960 Fax: 360-412-8970 |