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1001 4th Ave Ste 410 Seattle WA 98154-1119 | |
| (206) 320-3351 | |
| (206) 554-7787 |
| Full Name | |
|---|---|
| Speciality | General Practice |
| Location | 1001 4th Ave, Seattle, Washington |
| Authorized Official Name and Position | Kevin L Brown (VICE PRESIDENT) |
| Authorized Official Contact | 2063203665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 34472 Seattle WA 98124-1472 Ph: (206) 320-4473 | 1001 4th Ave Ste 410 Seattle WA 98154-1119 Ph: (206) 320-3351 |
| NPI Number | 1952358442 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952358442 | NPI | - | NPPES |
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