Children's Clinic of South Snohomish County, Ltd

NPI #1669645172 in Edmonds, Washington

Provider Information

NPI Number: 1669645172
Entity Type: Organization
Organization Name: Children's Clinic of South Snohomish County, Ltd
Primary Specialty: Pediatrics
Enumeration Date: Apr 4, 2008
Last Updated: Apr 4, 2008

Practice Location

Address: 21600 HWY 99
Address 2: SUITE 290
City: Edmonds
State: Washington
ZIP Code: 98026-8012
Phone: (425) 778-0191

Authorized Official

Name: LISA M GOVAERT
Title: OFFICE MANAGER
Phone: (425) 775-7464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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