| |
600 Broadway Ste 460 Seattle WA 98122-5312 | |
(206) 320-2078 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 600 Broadway Ste 460, Seattle, Washington |
Authorized Official Name and Position | Samuel Bobek (OWNER) |
Authorized Official Contact | 5034754735 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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600 Broadway Ste 460 Seattle WA 98122-5312 Ph: (206) 320-2078 | 600 Broadway Ste 460 Seattle WA 98122-5312 Ph: (206) 320-2078 |
NPI Number | 1841833431 |
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Provider Enumeration Date | 10/25/2019 |
Last Update Date | 10/28/2019 |
Medicare PECOS PAC ID | 2769810209 |
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Medicare Enrollment ID | O20200317001540 |
Identifier | Type | State | Issuer |
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1841833431 | NPI | - | NPPES |
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