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1600 7th Ave Ste 110 Seattle WA 98101-2288 | |
(206) 267-4390 | |
(206) 267-4391 |
Full Name | |
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Speciality | Family Medicine |
Location | 1600 7th Ave Ste 110, Seattle, Washington |
Authorized Official Name and Position | Donald Wayne Anderson (DIRECTOR REIMBURSEMENT) |
Authorized Official Contact | 4255255392 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 25608 Salt Lake City UT 84125-0608 Ph: (206) 320-4476 | 1600 7th Ave Ste 110 Seattle WA 98101-2288 Ph: (206) 267-4390 |
NPI Number | 1073553947 |
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Provider Enumeration Date | 06/07/2006 |
Last Update Date | 02/22/2019 |
Identifier | Type | State | Issuer |
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1073553947 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
208D00000X | General Practice | (* (Not Available)) | Secondary |
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