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Organization
POMA FERTILITY MEDICAL ASSOCIATES, PLLC
Active
Organization
POMA FERTILITY MEDICAL ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL S OPSAHL M.D. (MANAGER)
(425) 822-7662
Entity
Organization
Contact information
Practice address
12039 NE 128TH ST STE 110, KIRKLAND, WA 98034-3030
(425) 822-7662
(425) 822-0172
Mailing address
12039 NE 128TH ST STE 110, KIRKLAND, WA 98034-3030
(425) 822-7662
(425) 822-0172
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MD00004391
NULL
Other
Enumeration date
12/07/2012
Last updated
12/07/2012
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