BELLEVUE INTERVENTIONAL SPINE SPECIALIST PS NPI 1144333212

NPI Information

BELLEVUE INTERVENTIONAL SPINE SPECIALIST PS is a specialist in Bellevue, WA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BELLEVUE INTERVENTIONAL SPINE SPECIALIST PS NPI is 1144333212. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bellevue Spine Specialist.

The provider's business location address is:

13033 BEL RED RD
SUITE 120
BELLEVUE, WA
ZIP 98005-622
Phone: (425) 452-0101
Fax: (425) 452-0303

The provider's authorized official is David H Chang .
The authorized official title is President and has the following contact phone number (425) 452-0101.

The enumeration date for this NPI number is 8/15/2006 and was last updated on 3/7/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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