Provider First Line Business Practice Location Address:
751 NE BLAKEY DRIVE
Provider Second Line Business Practice Location Address:
SWEDISH MEDICAL CENTER
Provider Business Practice Location Address City Name:
ISSAQUAH
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98027
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-394-0610
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/19/2012