Provider First Line Business Practice Location Address:
VIRGINIA MASON MEDICAL CENTER
Provider Second Line Business Practice Location Address:
1100 9TH AVENUE, X8-GYN
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-223-6191
Provider Business Practice Location Address Fax Number:
206-625-7274
Provider Enumeration Date:
06/11/2014