Wise Patient Internal Medicine

NPI 1568720126 - Internal Medicine - 207R00000X

NPI Details
NPI 1568720126
Enumeration Date 05/01/2012
Last Updated 02/26/2013
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name SAM SAM
Position MEDICAL DIRECTOR
Phone (206) 437-2884
Fax
Practice Location
613 19TH AVE E
STE 201
SEATTLE WA, 98112-4075, US
Phone (206) 437-2884
Fax
Business Location
613 19TH AVE E
SUITE 201
SEATTLE WA, 98112-4075, US
Phone (206) 466-5937
Fax (206) 535-8844
Toxanomy
Taxonomy Code 207R00000X
License State Washington
License Number 41388
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According to our database, Wise Patient Internal Medicine NPI is 1568720126, taxonomy code is 207R00000X and license number is 41388, license state is located at Washington. Wise Patient Internal Medicine physically located at 613 19th Ave E, Seattle WA, 98112-4075. NPI Number 1033115704 has the healthcare provider type.

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1568720126 NPI number is provided on an as is basis without warranty of any kind. 1568720126 is maintained by the National Plan & Provider Enumeration System. The contents of Wise Patient Internal Medicine are for informational purposes only.