Myron Gudmundson, DC | |
17630 140th Ave Ne, Ste A, Woodinville, WA 98072-6876 | |
(425) 398-3900 | |
(425) 398-3907 |
Full Name | Myron Gudmundson |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 11 Years |
Location | 17630 140th Ave Ne, Woodinville, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083050496 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NN0400X | Chiropractor - Neurology | CH 60342432 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Woodinville Chiropractic Ps | 8628394962 | 2 |
Provider Name | Woodinville Chiropractic Ps |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184049991 PECOS PAC ID: 8628394962 Enrollment ID: O20150305000201 |
Mailing Address | Practice Location Address |
---|---|
Myron Gudmundson, DC 17630 140th Ave Ne, Ste A, Woodinville, WA 98072-6876 Ph: (425) 398-3900 | Myron Gudmundson, DC 17630 140th Ave Ne, Ste A, Woodinville, WA 98072-6876 Ph: (425) 398-3900 |
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