OrganizationActive
Provascular Diagnostic and Imaging PLLC
NPI 1003252776 · Vascular & Interventional Radiology Physician · Auburn, WA
Provider details
- NPI number
- 1003252776
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dennis Su, Owner(253) 735-4341
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
202 N Division St
Suite 200
Auburn, WA 98001-4939
Phone: (253) 735-4341
Approximate (ZIP-level) locationGet directions
Mailing address
202 N Division St
Auburn, WA 98001-4939
Registry dates
- Enumerated
- 2013-05-21
- Last updated
- 2013-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.