Tristan Maxwell, DC | |
284 Central Way, Kirkland, WA 98033-6104 | |
(425) 605-8508 | |
Not Available |
Full Name | Tristan Maxwell |
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Gender | Male |
Speciality | Chiropractor |
Location | 284 Central Way, Kirkland, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689320178 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH61259413 (Washington) | Primary |
Provider Name | Mccracken Chiropractic & Wellness Center, Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1982848982 PECOS PAC ID: 4688726227 Enrollment ID: O20090713000627 |
Mailing Address | Practice Location Address |
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Tristan Maxwell, DC 4520 Ne 24th St, Renton, WA 98059-3614 Ph: (509) 607-9541 | Tristan Maxwell, DC 284 Central Way, Kirkland, WA 98033-6104 Ph: (425) 605-8508 |
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