| 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 4525 3rd Ave Se # 100, Olympia, WA 98503-1010 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 |