Evergreen Urology Assoc Inc Ps

NPI 1093988123 - Specialist - 174400000X

NPI Details
NPI 1093988123
Enumeration Date 04/09/2008
Last Updated 05/22/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name ERNEST ERNEST
Position OWNER/MD
Phone (425) 899-4646
Fax
Practice Location
12815 120TH AVE NE
SUITE E
KIRKLAND WA, 98034-3003, US
Phone (425) 899-4646
Fax
Business Location
12815 120TH AVE NE
SUITE E
KIRKLAND WA, 98034-3003, US
Phone (425) 899-4646
Fax
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, Evergreen Urology Assoc Inc Ps NPI is 1093988123, taxonomy code is 174400000X Evergreen Urology Assoc Inc Ps physically located at 12815 120th Ave Ne, Kirkland WA, 98034-3003. NPI Number 1033115704 has the healthcare provider type.

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1093988123 NPI number is provided on an as is basis without warranty of any kind. 1093988123 is maintained by the National Plan & Provider Enumeration System. The contents of Evergreen Urology Assoc Inc Ps are for informational purposes only.