OVERLAKE NEUROLOGY NPI 1730112285

NPI Information

OVERLAKE NEUROLOGY is a neurology psychiatry neurology in Bellevue, WA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. OVERLAKE NEUROLOGY NPI is 1730112285. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1135 116TH AVE NE
SUITE 200
BELLEVUE, WA
ZIP 98004-623
Phone: (425) 709-7055
Fax: (425) 709-7066

The provider's authorized official is Daniel P. Fosmire .
The authorized official title is Partner and has the following contact phone number (425) 709-7055.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 12/3/2010.

Taxonomy Codes

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Other Identifiers

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