Provider First Line Business Practice Location Address:
1959 NE PACIFIC ST BOX 356426
Provider Second Line Business Practice Location Address:
UNIV OF WASHINGTON, DIVISION OF ENDOCRINOLOGY
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98195-6426
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-543-3470
Provider Business Practice Location Address Fax Number:
206-685-3781
Provider Enumeration Date:
11/06/2009