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Organization
PACIFIC HEAD & NECK SURGERY, PLLC
Active
Organization
PACIFIC HEAD & NECK SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN KENT CLARK M.D. (PHYSICIAN/ LLC MEMBER)
(206) 467-2747
Entity
Organization
Contact information
Practice address
600 BROADWAY, SUITE 260, SEATTLE, WA 98122-5395
(206) 467-2747
(206) 467-1591
Mailing address
600 BROADWAY, SUITE 260, SEATTLE, WA 98122-5395
(206) 467-2747
(206) 467-1591
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD00014942
WA
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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