Issaquah Medical Group Pllc

NPI #1578774501 in Issaquah, Washington

Provider Information

NPI Number
1578774501
Entity Type
Organization
Organization Name
Issaquah Medical Group Pllc
Primary Specialty
General Practice
Enumeration Date
May 24, 2007
Last Updated
Oct 26, 2007

Practice Location

Address
450 NW GILMAN BLVD STE 201
ZIP Code
98027-2483
Phone
(425) 391-0705

Authorized Official

Name
MICHAEL P HOURIGAN
Title
CLINIC ADMINISTRATOR
Phone
(425) 391-0705

Specialties & Taxonomy Codes

Specialty
General Practice

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