| Bellevue Internal Medicine Associates Pllc | |
|
1750 112th Ave Ne Suite A101 & A102 Bellevue WA 98004-3782 | |
| (425) 637-1022 | |
| (425) 637-2011 |
| Full Name | Bellevue Internal Medicine Associates Pllc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 1750 112th Ave Ne, Bellevue, Washington |
| Authorized Official Name and Position | Henry Joseph Williams (MEMBER) |
| Authorized Official Contact | 4256371022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bellevue Internal Medicine Associates Pllc Po Box 31001-1839 Bellevue Internal Medicine Associates Pllc Pasadena CA 91110-1839 Ph: (425) 637-1022 | Bellevue Internal Medicine Associates Pllc 1750 112th Ave Ne Suite A101 & A102 Bellevue WA 98004-3782 Ph: (425) 637-1022 |
| NPI Number | 1235206558 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 06/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235206558 | NPI | - | NPPES |
| 7093594 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | MD00024795 (Washington) | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 601913899 (Washington) | Secondary |
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