Provider First Line Business Practice Location Address:
U WASHINGTON DEPT OF SURGERY 1959 NE PACIFIC ST
Provider Second Line Business Practice Location Address:
BOX 356410
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98195-6410
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-744-5126
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/21/2015