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Organization

NORTHWEST CARDIOVASCULAR

Active
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Organization

NORTHWEST CARDIOVASCULAR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GLENDA LEE MEDEEN (BUSINESS MANAGER)
(253) 572-8777
Entity
Organization

Contact information

Practice address
1812 S J ST, SUITE 210, TACOMA, WA 98405-4964
(253) 572-8777
(253) 572-8835
Mailing address
1812 S J ST, SUITE 210, TACOMA, WA 98405-4964
(253) 572-8777
(253) 572-8835

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—

Other

Enumeration date
03/22/2007
Last updated
12/17/2007
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