171100000X
Bellevue, WA
Specialty
171100000X
Credential
N.D., EAMP, CNM, RN
NPI
1912132903
11511 Ne 10th St, Bellevue, WA 98004
(425) 774-1538Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 171100000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 171100000X