Brian Desroches, Inc.

NPI 1073806576 - Clinic/Center - 261QM0850X

NPI Details
NPI 1073806576
Enumeration Date 05/17/2011
Last Updated 02/02/2015
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name BRIAN BRIAN
Position PRESIDENT
Phone (206) 323-6114
Fax
Practice Location
2100 WESTLAKE AVE N
SUITE 201
SEATTLE WA, 98109-5802, US
Phone (206) 323-6114
Fax
Business Location
2100 WESTLAKE AVE N
SUITE 201
SEATTLE WA, 98109-5802, US
Phone (206) 323-6114
Fax
Toxanomy
Taxonomy Code 261QM0850X
License State Washington
License Number 1459
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According to our database, Brian Desroches, Inc. NPI is 1073806576, taxonomy code is 261QM0850X and license number is 1459, license state is located at Washington. Brian Desroches, Inc. physically located at 2100 Westlake Ave N, Seattle WA, 98109-5802. NPI Number 1033115704 has the healthcare provider type.

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1073806576 NPI number is provided on an as is basis without warranty of any kind. 1073806576 is maintained by the National Plan & Provider Enumeration System. The contents of Brian Desroches, Inc. are for informational purposes only.