Provider First Line Business Practice Location Address:
550 17TH AVE STE A10
Provider Second Line Business Practice Location Address:
C/O SWEDISH RADIOSURGERY CENTER AT CHERRY HILL
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98122-5789
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-320-7130
Provider Business Practice Location Address Fax Number:
206-320-7137
Provider Enumeration Date:
07/26/2006