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Organization
ATHENIX PHYSICIANS GROUP NORTHWEST, PLLC
Active
Organization
ATHENIX PHYSICIANS GROUP NORTHWEST, PLLC
Active
Other names
Athenix Body Sculpting Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES HAEFNER (ADMINISTRATION)
(949) 600-9931
Entity
Organization
Contact information
Practice address
636 120TH AVE NE STE 202, BELLEVUE, WA 98005-3028
(425) 454-2410
(425) 454-2259
Mailing address
636 120TH AVE NE STE 202, BELLEVUE, WA 98005-3028
(425) 454-2410
(425) 454-2259
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD 60033065
WA
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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