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Organization
SEATTLE SPINE GROUP, PLLC
Active
Organization
SEATTLE SPINE GROUP, PLLC
Active
Other names
Seattle Regenerative Medicine Center
Organization subpart
No
Provider details
NPI number
Authorized official
LUCY SEIPLE HOSTETTER MD (MANAGING MEMBER)
(425) 454-0406
Entity
Organization
Contact information
Practice address
1220 116TH AVE NE STE 102, BELLEVUE, WA 98004
(425) 454-0406
(425) 454-8225
Mailing address
1220 116TH AVE NE STE 102, BELLEVUE, WA 98004-3826
(425) 454-0406
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD60174685
WA
207X00000X
Orthopaedic Surgery Physician
MD00040889
WA
Other
Enumeration date
07/17/2018
Last updated
06/11/2019
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