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651 N 34th St Seattle WA 98103-8846 | |
(650) 214-6369 | |
Not Available |
Full Name | |
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Speciality | General Practice |
Location | 651 N 34th St, Seattle, Washington |
Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
Authorized Official Contact | 2164799063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5500 Maryland Way Suite 400 Brentwood TN 37027-4948 Ph: () - | 651 N 34th St Seattle WA 98103-8846 Ph: (650) 214-6369 |
NPI Number | 1053698084 |
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Provider Enumeration Date | 11/04/2011 |
Last Update Date | 08/15/2022 |
Identifier | Type | State | Issuer |
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1053698084 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
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