| Issaquah Medical Group Pllc | |
|
450 Nw Gilman Blvd Ste 201 Issaquah WA 98027-2483 | |
| (425) 391-0705 | |
| Not Available |
| Full Name | Issaquah Medical Group Pllc |
|---|---|
| Speciality | General Practice |
| Location | 450 Nw Gilman Blvd Ste 201, Issaquah, Washington |
| Authorized Official Name and Position | Michael P Hourigan (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 4253910705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Issaquah Medical Group Pllc 450 Nw Gilman Blvd Ste 201 Issaquah WA 98027-2483 Ph: () - | Issaquah Medical Group Pllc 450 Nw Gilman Blvd Ste 201 Issaquah WA 98027-2483 Ph: (425) 391-0705 |
| NPI Number | 1578774501 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 10/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578774501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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