Provider First Line Business Practice Location Address:
VIRGINIA MASON MEDICAL CENTER
Provider Second Line Business Practice Location Address:
DEPARTMENT OF NEUROSURGERY, 1100 NINTH AVE
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-341-1830
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/28/2023