Bellevue Obgyn LLC
NPI #1104124247 in Bellevue, Washington
Provider Information
- NPI Number
- 1104124247
- Entity Type
- Organization
- Organization Name
- Bellevue Obgyn LLC
- Primary Specialty
- Obstetrics & Gynecology
- Enumeration Date
- Mar 13, 2011
- Last Updated
- Aug 10, 2012
Practice Location
- Address
- 1515 116TH AVE NE
- Address 2
- 205
- City
- Bellevue
- State
- Washington
- ZIP Code
- 98004-3811
- Phone
- (425) 698-1588
Authorized Official
- Name
- DR. MARK S FAN, MD
- Title
- MEMBER
- Phone
- (425) 698-1588
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
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