Village Pediatrics, Pllc
NPI #1720426372 in Issaquah, Washington
Provider Information
- NPI Number
- 1720426372
- Entity Type
- Organization
- Organization Name
- Village Pediatrics, Pllc
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jun 5, 2013
- Last Updated
- Jun 5, 2013
Practice Location
- Address
- 317 NW GILMAN BLVD STE 48
- City
- Issaquah
- State
- Washington
- ZIP Code
- 98027-2485
- Phone
- (425) 996-3396
Authorized Official
- Name
- STACI SCOTT, ARNP
- Title
- PEDIATRIC NURSE PRACTITIONER
- Phone
- (814) 387-8224
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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