| Associated Valley Providers Pllc | |
|
4361 Talbot Rd S Suite 112 Renton WA 98055-6226 | |
| (425) 255-5111 | |
| (425) 254-0985 |
| Full Name | Associated Valley Providers Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4361 Talbot Rd S, Renton, Washington |
| Authorized Official Name and Position | John L Vanderheyden (OWNER) |
| Authorized Official Contact | 4252555111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Associated Valley Providers Pllc 4361 Talbot Rd S Suite 112 Renton WA 98055-6226 Ph: (425) 255-5111 | Associated Valley Providers Pllc 4361 Talbot Rd S Suite 112 Renton WA 98055-6226 Ph: (425) 255-5111 |
| NPI Number | 1043490543 |
|---|---|
| Provider Enumeration Date | 11/13/2007 |
| Last Update Date | 09/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043490543 | NPI | - | NPPES |
| 7112634 | Medicaid | WA |
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