Silverdale Eye Mds Ps

NPI #1538498886 in Silverdale, Washington

Provider Information

NPI Number: 1538498886
Entity Type: Organization
Organization Name: Silverdale Eye Mds Ps
Primary Specialty: Specialist
Enumeration Date: Dec 16, 2009
Last Updated: Feb 4, 2011

Practice Location

Address: 9399 RIDGETOP BLVD NW
Address 2: SUITE A
City: Silverdale
State: Washington
ZIP Code: 98383-9370
Phone: (360) 337-2015

Authorized Official

Name: ALEXANDER GLEN RICO, M.D.
Title: OWNER
Phone: (360) 337-2015

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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