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Organization
NORTHWEST PEDIATRIC OTOLARYNGOLOGY GROUP
Active
Organization
NORTHWEST PEDIATRIC OTOLARYNGOLOGY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANIFAT O BALOGUN MD (OWNER)
(206) 525-0903
Entity
Organization
Contact information
Practice address
6850 35TH AVE NE, SUITE 4, SEATTLE, WA 98115-7344
(206) 525-0903
(866) 497-3901
Mailing address
6850 35TH AVE NE, STE 4, SEATTLE, WA 98115-7344
(206) 525-0903
(866) 497-3901
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
MD00039276
WA
Other
Enumeration date
07/09/2006
Last updated
09/10/2012
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