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Provascular Surgery Associates Pllc
Vascular Surgery Physician in Renton, Washington
NPI 1174851810

Provascular Surgery Associates Pllc is a Vascular Surgery Physician based in Renton, WA and is specialized in Vascular Surgery. Provascular Surgery Associates Pllc practices in Renton, WA. The NPI Number for Provascular Surgery Associates Pllc is 1174851810 and holds a License No. MD60106870 (Washington).

The current practice location address for Provascular Surgery Associates Pllc is 4300 Talbot Rd S, Renton, WA and can be reached out via phone at 425-227-4341 and via fax at 425-793-6045.

Location: 4300 Talbot Rd S, Renton, WA, 98055-6238
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174851810
Provider Name
Provascular Surgery Associates Pllc
Credential
Provider Entity Type
Organization
Address
4300 Talbot Rd S, Renton, WA, 98055-6238
Phone Number
425-227-4341
Fax Number
425-793-6045
Provider Enumeration Date
11/18/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4300 Talbot Rd S
City
Renton
State
Washington
Zip
98055-6328
Phone Number
425-227-4341
Fax Number
425-793-6045
person
Provider Business Mailing Address Details
Address
4300 Talbot Rd S
City
Renton
State
Washington
Zip
98055-6328
Phone Number
425-227-4341
Fax Number
425-793-6045
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
MD60106870 (Washington)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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