Eastside Endocrinology and Diabetes, Ps
NPI #1861493272 in Bellevue, Washington
Provider Information
- NPI Number
- 1861493272
- Entity Type
- Organization
- Organization Name
- Eastside Endocrinology and Diabetes, Ps
- Primary Specialty
- Internal Medicine - Endocrinology, Diabetes & Metabolism
- Enumeration Date
- Aug 9, 2005
- Last Updated
- Jan 15, 2010
Practice Location
- Address
- 2020 116TH AVE NE
- Address 2
- SUITE 150
- City
- Bellevue
- State
- Washington
- ZIP Code
- 98004-3059
- Phone
- (425) 453-9762
Authorized Official
- Name
- DR. BRADLEY JOY WALLUM, MD
- Title
- OWNER
- Phone
- (425) 453-9762
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Endocrinology, Diabetes & Metabolism — Endocrinology, Diabetes & Metabolism |
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