| Marina Park Plastics, Pllc | |
|
16 Central Way Kirkland WA 98033-6115 | |
| (425) 655-1200 | |
| Not Available |
| Full Name | Marina Park Plastics, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 16 Central Way, Kirkland, Washington |
| Authorized Official Name and Position | Zachary P Joos (OWNER) |
| Authorized Official Contact | 4256551200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marina Park Plastics, Pllc 16 Central Way Kirkland WA 98033-6115 Ph: (425) 655-1200 | Marina Park Plastics, Pllc 16 Central Way Kirkland WA 98033-6115 Ph: (425) 655-1200 |
| NPI Number | 1225641152 |
|---|---|
| Provider Enumeration Date | 08/29/2020 |
| Last Update Date | 08/29/2020 |
| Medicare PECOS PAC ID | 0345669248 |
|---|---|
| Medicare Enrollment ID | O20200925001772 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225641152 | NPI | - | NPPES |
| 1476308 | Medicaid | WA |
| Provider Name | Zachary P Joos |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1588954119 PECOS PAC ID: 7315177599 Enrollment ID: I20170613002039 |
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