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Organization
OBSTETRIX MEDICAL GROUP OF WASHINGTON INC PS
Active
Organization
OBSTETRIX MEDICAL GROUP OF WASHINGTON INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANETTE SANDERS (ASSISTANT SECRETARY)
(800) 243-3839
Entity
Organization
Contact information
Practice address
1229 MADISON ST STE 750, SEATTLE, WA 98104-3540
(206) 386-2101
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(954) 384-0175
(954) 851-1948
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7099179
—
WA
05
—
7107162
—
WA
05
—
807704300
—
ID
05
—
MDG46WA
—
AK
05
—
MDG47WA
—
AK
Enumeration date
09/17/2006
Last updated
10/23/2024
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