| |
15906 Mill Creek Blvd, Suite 102, Mill Creek, WA 98012-1797 | |
(425) 225-2626 | |
(425) 225-2634 |
Full Name | |
---|---|
Type | Facility |
Speciality | Audiologist |
Location | 15906 Mill Creek Blvd, Mill Creek, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316133655 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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15906 Mill Creek Blvd, Suite 102, Mill Creek, WA 98012-1797 Ph: (425) 225-2626 | 15906 Mill Creek Blvd, Suite 102, Mill Creek, WA 98012-1797 Ph: (425) 225-2626 |
Dr. Michael Stephen Mallahan, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 15906 Mill Creek Blvd, Suite 102, Mill Creek, WA 98012 Phone: 425-225-2626 Fax: 425-225-2634 |