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Longevity Medical Clinic
Specialist in Kirkland, Washington
NPI 1023231172

Longevity Medical Clinic is a Specialist based in Kirkland, WA. Longevity Medical Clinic practices in Kirkland, WA. The NPI Number for Longevity Medical Clinic is 1023231172 and holds a License No. MD23643 (Washington).

The current practice location address for Longevity Medical Clinic is 9757 Ne Juanita Dr, Kirkland, WA and can be reached out via phone at 425-576-9272 and via fax at 425-576-0894.

Location: 9757 Ne Juanita Dr, Kirkland, WA, 98034-4299
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023231172
Provider Name
Longevity Medical Clinic
Credential
Provider Entity Type
Organization
Address
9757 Ne Juanita Dr, Kirkland, WA, 98034-4299
Phone Number
425-576-9272
Fax Number
425-576-0894
Provider Enumeration Date
04/10/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9757 Ne Juanita Dr
City
Kirkland
State
Washington
Zip
98034-4299
Phone Number
425-576-9272
Fax Number
425-576-0894
person
Provider Business Mailing Address Details
Address
9757 Ne Juanita Dr
City
Kirkland
State
Washington
Zip
98034-4299
Phone Number
425-576-9272
Fax Number
425-576-0894
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD23643 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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