institution
Western Washington Medical Group, Inc Ps
Nephrology Physician in Everett, Washington
NPI 1417175811

Western Washington Medical Group, Inc Ps is a Nephrology Physician based in Everett, WA and is specialized in Nephrology. Western Washington Medical Group, Inc Ps practices in Everett, WA. The NPI Number for Western Washington Medical Group, Inc Ps is 1417175811 and holds a License No. 601474013 (Washington).

The current practice location address for Western Washington Medical Group, Inc Ps is 12728 19Th Ave Se Ste 300, Everett, WA and can be reached out via phone at 425-258-6801 and via fax at 425-258-1944.

Location: 12728 19Th Ave Se Ste 300, Everett, WA, 98208-6676
institution
Provider Profile Details
NPI Number
1417175811
Provider Name
Western Washington Medical Group, Inc Ps
Credential
Provider Entity Type
Organization
Address
12728 19Th Ave Se Ste 300, Everett, WA, 98208-6676
Phone Number
425-258-6801
Fax Number
425-258-1944
Provider Enumeration Date
04/23/2007
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0050081 01 WA LABOR & INDUSTRY
7057029 05 WA
CJ9333 01 WA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
12728 19Th Ave Se Ste 300
City
State
Zip
98208-6676
Phone Number
425-258-6801
Fax Number
425-258-1944
person
Provider Business Mailing Address Details
Address
12728 19Th Ave Se Ste 300
City
State
Zip
98208-6676
Phone Number
425-258-6801
Fax Number
425-258-1944
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
License No.
601474013 (Washington)
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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