| Everett Urology | |
|
4225 Hoyt Ave Ste C Everett WA 98203-2351 | |
| (425) 252-2313 | |
| Not Available |
| Full Name | Everett Urology |
|---|---|
| Speciality | Clinic/center |
| Location | 4225 Hoyt Ave Ste C, Everett, Washington |
| Authorized Official Name and Position | Earl Dan Bardin (PRESIDENT) |
| Authorized Official Contact | 4252522313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Everett Urology 4225 Hoyt Ave Ste C Everett WA 98203-2351 Ph: (425) 252-2313 | Everett Urology 4225 Hoyt Ave Ste C Everett WA 98203-2351 Ph: (425) 252-2313 |
| NPI Number | 1922131762 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 12/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922131762 | NPI | - | NPPES |
| 1027812 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | WH20734 (Washington) | Primary |
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