is a Plastic Surgery Within The Head & Neck in Bellevue, Washington. practices all healthcare services and medical treatments related to Plastic Surgery Within The Head & Neck. The NPI Number for is 1497964720. The last update date is .
's current location address is 11511 Ne 10th St, Bellevue, Washington. You can contact this provider via phone number 4255023000. The mailing address for is 11511 Ne 10th St, Bellevue, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 11511 Ne 10th St, Bellevue, Washington |
| Phone Number | 4255023000 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1497964720 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 11511 Ne 10th St |
|---|---|
| City | Bellevue |
| State | Washington (WA) |
| Post Code | 980048578 |
| Phone Number | 4255023000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery Within The Head & Neck |
|---|---|
| Taxonomy | 207Yx0007X |
| Licence No | MD60147213 |
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Definition: An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissu |
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