# DEBORAH S. GOLOB, MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407023930
- **Authorized official:** DR. DEBORAH SUE GOLOB MD (PHYSICIAN)
- **Authorized official phone:** (425) 454-0526

## Contact information

- **Practice address:** 1603 116TH AVE NE, STE 112, BELLEVUE, WA 98004-3009
- **Practice address phone:** (425) 454-0526
- **Practice address fax:** (425) 455-0076
- **Mailing address:** 1603 116TH AVE NE, STE 112, BELLEVUE, WA 98004-3009
- **Mailing address phone:** (425) 454-0526
- **Mailing address fax:** (425) 455-0076

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | MD00044606 | WA | Yes |

## Other

- **Enumeration date:** 05/14/2008
- **Last updated:** 04/10/2012