| |
2111 Queen Anne Ave N Seattle WA 98109-2310 | |
(206) 861-8500 | |
(206) 861-8501 |
Full Name | |
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Speciality | Pediatrics |
Location | 2111 Queen Anne Ave N, Seattle, Washington |
Authorized Official Name and Position | Kevin L Brown (VICE PRESIDENT) |
Authorized Official Contact | 2063203665 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 34472 Seattle WA 98124-1472 Ph: (206) 320-4476 | 2111 Queen Anne Ave N Seattle WA 98109-2310 Ph: (206) 861-8500 |
NPI Number | 1881634756 |
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Provider Enumeration Date | 06/07/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1881634756 | NPI | - | NPPES |
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