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Organization
RENTON PEDIATRIC ASSOCIATES, PS
Active
Organization
RENTON PEDIATRIC ASSOCIATES, PS
Active
Parent organization
RENTON PEDIATRIC ASSOCIATES, PS
Organization subpart
Yes
Provider details
NPI number
Legal business name
RENTON PEDIATRIC ASSOCIATES, PS
Authorized official
STUART S. SHORR MD (PHYSICIAN/OWNER)
(425) 271-5437
Entity
Organization
Contact information
Practice address
4033 TALBOT RD S, SUITE 200, RENTON, WA 98055-5772
(425) 271-5437
Mailing address
4033 TALBOT RD S, SUITE 200, RENTON, WA 98055
(425) 271-5437
(425) 656-4212
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/12/2006
Last updated
08/02/2011
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