Maksportsmd
NPI #1417469404 in Bothell, Washington
Provider Information
- NPI Number
- 1417469404
- Entity Type
- Organization
- Organization Name
- Maksportsmd
- Primary Specialty
- Family Medicine - Sports Medicine
- Enumeration Date
- Oct 30, 2017
- Last Updated
- Oct 30, 2017
Practice Location
- Address
- 19110 BOTHELL WAY NE STE 102
- City
- Bothell
- State
- Washington
- ZIP Code
- 98011-2970
- Phone
- (425) 286-8271
Authorized Official
- Name
- ABIMBOLU MAKINDE, MD
- Title
- OWNER
- Phone
- (425) 286-8271
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Sports Medicine — Sports Medicine |
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