Broadway Sports And Internal Medicine

NPI 1396803797 - Family Medicine - 207QS0010X

NPI Details
NPI 1396803797
Enumeration Date 12/05/2006
Last Updated 10/23/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GARY RICHARD GARY
Position PHYSICIAN
Phone (206) 215-2288
Fax (206) 215-2289
Practice Location
600 BROADWAY
SUITE 270
SEATTLE WA, 98122-5395, US
Phone (206) 215-2288
Fax (206) 215-2289
Business Location
600 BROADWAY
SUITE 270
SEATTLE WA, 98122-5395, US
Phone (206) 215-2288
Fax (206) 215-2289
Toxanomy
Taxonomy Code 207QS0010X
License State Washington
License Number MD0019545
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According to our database, Broadway Sports And Internal Medicine NPI is 1396803797, taxonomy code is 207QS0010X and license number is MD0019545, license state is located at Washington. Broadway Sports And Internal Medicine physically located at 600 Broadway, Seattle WA, 98122-5395. NPI Number 1033115704 has the healthcare provider type.

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1396803797 NPI number is provided on an as is basis without warranty of any kind. 1396803797 is maintained by the National Plan & Provider Enumeration System. The contents of Broadway Sports And Internal Medicine are for informational purposes only.