Pro Sports Club | |
4455 148th Ave Ne Bellevue WA 98007-3120 | |
(425) 895-6575 | |
Not Available |
Full Name | Pro Sports Club |
---|---|
Speciality | Family Medicine |
Location | 4455 148th Ave Ne, Bellevue, Washington |
Authorized Official Name and Position | Debbie Becker (SR DIRECTOR OF ACCOUNTING) |
Authorized Official Contact | 4258694746 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pro Sports Club 4455 148th Ave Ne Bellevue WA 98007-3120 Ph: (425) 895-6575 | Pro Sports Club 4455 148th Ave Ne Bellevue WA 98007-3120 Ph: (425) 895-6575 |
NPI Number | 1861918518 |
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Provider Enumeration Date | 08/15/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861918518 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 600541508 (Washington) | Primary |
208D00000X | General Practice | 600541508 (Washington) | Secondary |
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