| NPI | 1215777198 |
|---|---|
| Doing Business As | T-MOBILE-BELLEVUE |
| Entity Type | Organization |
| Authorized Contact | JONATHAN LEIZMAN President 615-468-6270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-05-29 |