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PROVASCULAR SURGERY ASSOCIATES PLLC NPI 1174851810


NPI Information

NPI: 1174851810
Provider Name: PROVASCULAR SURGERY ASSOCIATES PLLC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
4300 TALBOT RD S
STE 101
RENTON, WA
ZIP 98055
Phone: (425) 227-4341
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PROVASCULAR SURGERY ASSOCIATES PLLC is a vascular surgery surgery in Renton, WA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. PROVASCULAR SURGERY ASSOCIATES PLLC NPI is 1174851810. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4300 TALBOT RD S
STE 101
RENTON, WA
ZIP 98055-328
Phone: (425) 227-4341
Fax: (425) 793-6045

The provider's authorized official is Dennis L Su .
The authorized official title is Physician/owner and has the following contact phone number (425) 227-4341.

The enumeration date for this NPI number is 11/18/2009 and was last updated on 12/12/2014.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular SurgeryMD60106870WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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