| Regenerative Medical Group Washington Llc | |
|
11415 Slater Ave Ne Ste 102 Kirkland WA 98033-4656 | |
| (425) 899-2525 | |
| Not Available |
| Full Name | Regenerative Medical Group Washington Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11415 Slater Ave Ne Ste 102, Kirkland, Washington |
| Authorized Official Name and Position | Bryn Henderson (OWNER) |
| Authorized Official Contact | 4258992525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regenerative Medical Group Washington Llc 11415 Slater Ave Ne Ste 102 Kirkland WA 98033-4656 Ph: () - | Regenerative Medical Group Washington Llc 11415 Slater Ave Ne Ste 102 Kirkland WA 98033-4656 Ph: (425) 899-2525 |
| NPI Number | 1801368345 |
|---|---|
| Provider Enumeration Date | 12/21/2018 |
| Last Update Date | 01/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801368345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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