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Organization
QUEEN ANNE MEDICAL ASSOCIATES, PLLC
Active
Organization
QUEEN ANNE MEDICAL ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA J. GROMKO M.D. (OWNER)
(206) 281-7163
Entity
Organization
Contact information
Practice address
200 W MERCER ST, SUITE #104, SEATTLE, WA 98119-3995
(206) 281-7163
(206) 281-5088
Mailing address
200 W MERCER ST, SUITE #104, SEATTLE, WA 98119-3995
(206) 281-7163
(206) 281-5088
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00023234
WA
363LF0000X
Family Nurse Practitioner
AP30000010
WA
363LF0000X
Family Nurse Practitioner
AP30001206
WA
363LF0000X
Family Nurse Practitioner
AP30003193
WA
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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