Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
May 14, 2012
License(s)
MD60744420 (WA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 550 17TH AVE FL 5 | Seattle, WA 98122-5788 | 206-386-3880 |
| MAILING | PO BOX 25608 | Salt Lake City, UT 84125-0608 | 206-320-4476 |
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