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16150 Ne 85th St Ste 110 Redmond WA 98052-3541 | |
(425) 636-0303 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 16150 Ne 85th St Ste 110, Redmond, Washington |
Authorized Official Name and Position | Anthony Douglas Brooks (MEMBER) |
Authorized Official Contact | 2536774981 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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16150 Ne 85th St Ste 110 Redmond WA 98052-3541 Ph: (253) 677-4981 | 16150 Ne 85th St Ste 110 Redmond WA 98052-3541 Ph: (425) 636-0303 |
NPI Number | 1336549609 |
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Provider Enumeration Date | 08/24/2014 |
Last Update Date | 08/06/2015 |
Identifier | Type | State | Issuer |
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1336549609 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | 603249159 (Washington) | Primary |
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