OVERLAKE COLON & RECTAL CLINIC, PLLC

BELLEVUE, WA
NPI1063688273
Entity TypeOrganization
Authorized ContactMITRA EHSAN
Owner
206-669-7639
Organization Subpart ?No
Primary Taxonomy208C00000X Colon & Rectal Surgery
(Licence: WA  MD00039612)
Additional Taxonomies208600000X Surgery
(Licence: WA  MD00039612)
Enumeration Date2008-05-07
Last Update Date2019-09-04
Business Address
OVERLAKE COLON & RECTAL CLINIC, PLLC
1135 116TH AVE NE SUITE 190
BELLEVUE, WA 98004-4623
Phone number: 425-646-7400
Mailing Address
OVERLAKE COLON & RECTAL CLINIC, PLLC
PO BOX 597
BELLEVUE, WA 98009-0597
Phone number: 206-669-7639
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