Provider First Line Business Practice Location Address:
3301 S. HORTON ST
Provider Second Line Business Practice Location Address:
JOHN MUIR
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98144
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-252-7400
Provider Business Practice Location Address Fax Number:
206-252-7401
Provider Enumeration Date:
12/18/2012