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ISSAQUAH MEDICAL GROUP NPI 1649316266


NPI Information

NPI: 1649316266
Provider Name: ISSAQUAH MEDICAL GROUP
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
450 NW GILMAN BLVD STE 201
ISSAQUAH, WA
ZIP 98027
Phone: (425) 391-0705
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ISSAQUAH MEDICAL GROUP is a pediatrics in Issaquah, WA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. ISSAQUAH MEDICAL GROUP NPI is 1649316266. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

450 NW GILMAN BLVD STE 201
ISSAQUAH, WA
ZIP 98027-483
Phone: (425) 391-0705
Fax: (425) 391-9562

The provider's authorized official is Michael P Hourigan .
The authorized official title is Administrator and has the following contact phone number (425) 391-0705.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 3/7/2023.


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
1208000000XPediatricsMD00043371WASHINGTONYes

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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