# RENTON PEDIATRIC ASSOCIATES, PS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RENTON PEDIATRIC ASSOCIATES, PS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1225199474
- **Legal business name:** RENTON PEDIATRIC ASSOCIATES, PS
- **Authorized official:** STUART S. SHORR MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (425) 271-5437

## Contact information

- **Practice address:** 4033 TALBOT RD S, SUITE 200, RENTON, WA 98055-5772
- **Practice address phone:** (425) 271-5437
- **Mailing address:** 4033 TALBOT RD S, SUITE 200, RENTON, WA 98055
- **Mailing address phone:** (425) 271-5437
- **Mailing address fax:** (425) 656-4212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/12/2006
- **Last updated:** 08/02/2011