is a Geriatric Medicine in Bellevue, Washington. practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for is 1174575518. The last update date is .
's current location address is 12917 Se 38th St., Suite 100, Bellevue, Washington. You can contact this provider via phone number 4256414000 and fax number 2063205840. The mailing address for is 12917 Se 38th St., Suite 100, Bellevue, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 12917 Se 38th St., Suite 100, Bellevue, Washington |
| Phone Number | 4256414000 |
| Fax Number | 2063205840 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1174575518 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 12917 Se 38th St., Suite 100 |
|---|---|
| City | Bellevue |
| State | Washington (WA) |
| Post Code | 98006 |
| Phone Number | 4256414000 |
| Fax Number | 2063205840 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Qg0300X |
| Licence No | MD00044750 |
|
Definition: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8435414 | WA | -- |
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