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Emerald City Sports & Spine Medicine
Medical Specialty Clinic/Center in Bellevue, Washington
NPI 1992074066

Emerald City Sports & Spine Medicine is a Medical Specialty Clinic/Center based in Mercer Island, WA and is specialized in Medical Specialty. Emerald City Sports & Spine Medicine practices in Bellevue, WA. The NPI Number for Emerald City Sports & Spine Medicine is 1992074066 and holds a License No. MD 39116 (Washington).

The current practice location address for Emerald City Sports & Spine Medicine is 1632 116Th Ave Ne, Bellevue, WA and can be reached out via phone at 425-818-0558 and via fax at 888-557-3062. You can also correspond with Emerald City Sports & Spine Medicine through the mailing address at 6924 SE ALLEN ST, MERCER ISLAND, WA - 98040-3357 (mailing address contact number: 206-852-8898).

Location: 1632 116Th Ave Ne, Bellevue, WA, 98040-3357
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992074066
Provider Name
Emerald City Sports & Spine Medicine
Credential
Provider Entity Type
Organization
Address
1632 116Th Ave Ne, Bellevue, WA, 98040-3357
Phone Number
425-818-0558
Fax Number
888-557-3062
Provider Enumeration Date
12/20/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1632 116Th Ave Ne
City
Bellevue
State
Washington
Zip
98004-3035
Phone Number
425-818-0558
Fax Number
888-557-3062
person
Provider Business Mailing Address Details
Address
1632 116Th Ave Ne
City
Bellevue
State
Washington
Zip
98004-3035
Phone Number
425-818-0558
Fax Number
888-557-3062
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
MD 39116 (Washington)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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