Washington
Lewis
Chehalis
Radiology
canceled
G42286
male
1979
medical activities:
no activities identified
license issued on July 1, 1980;
Radiologist
Specialist for: Diagnostic Radiology
Loma Linda University School of Medicine (graduated in 1979)
Providence Centralia Hospital
Providence Saint Peter Hospital
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Profile ID: FRUS-MDS-P-104162