SEATTLE SPORTS & REGENERATIVE MEDICINE PLLC

SEATTLE, WA
NPI1871020933
Entity TypeOrganization
Authorized ContactMARK D WAGNER
Owner
206-999-8556
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  MD00022633)
Enumeration Date2017-05-18
Last Update Date2021-10-07
Business Address
SEATTLE SPORTS & REGENERATIVE MEDICINE PLLC
1000 DEXTER AVE N STE 320
SEATTLE, WA 98109-4878
Phone number: 206-999-8556
Mailing Address
SEATTLE SPORTS & REGENERATIVE MEDICINE PLLC
1000 DEXTER AVE N STE 320
SEATTLE, WA 98109-4878
Phone number: 206-486-7837
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