Lakewood Surgical Urology Ps

NPI 1215023940 - Urology - 208800000X

NPI Details
NPI 1215023940
Enumeration Date 10/04/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JOHN B JOHN
Position OWNER/PROVIDER
Phone (253) 581-7000
Fax (253) 984-6774
Practice Location
11306 BRIDGEPORT WAY SW
SUITE D
LAKEWOOD WA, 98499-3005, US
Phone (253) 581-7000
Fax (253) 984-6774
Business Location
PO BOX 97115
LAKEWOOD WA, 98497-0115, US
Phone (253) 588-7911
Fax (253) 984-6774
Toxanomy
Taxonomy Code 208800000X
License State Washington
License Number MD00044997
Remove 1215023940 NPI Number
 

According to our database, Lakewood Surgical Urology Ps NPI is 1215023940, taxonomy code is 208800000X and license number is MD00044997, license state is located at Washington. Lakewood Surgical Urology Ps physically located at 11306 Bridgeport Way Sw, Lakewood WA, 98499-3005. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1215023940 NPI number is provided on an as is basis without warranty of any kind. 1215023940 is maintained by the National Plan & Provider Enumeration System. The contents of Lakewood Surgical Urology Ps are for informational purposes only.