LONGEVITY MEDICAL CLINIC is a specialist in Kirkland, 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. LONGEVITY MEDICAL CLINIC NPI is 1023231172. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider's business location address is:
9757 NE JUANITA DR
SUITE 200
KIRKLAND, WA
ZIP 98034-299
Phone: (425) 576-9272
Fax: (425) 576-0894
The provider's authorized official is Jerry N Mixon .
The authorized official title is Medical Director and has the following contact phone number (425) 576-9272.
The enumeration date for this NPI number is 4/10/2007 and was last updated on 6/21/2011.