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Organization
RETINA SPECIALISTS NORTHWEST, PLLC
Active
Organization
RETINA SPECIALISTS NORTHWEST, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDA A MYERS POWELL MD, PHD (PRESIDENT)
(253) 517-3334
Entity
Organization
Contact information
Practice address
33915 1ST WAY S, STE 120, FEDERAL WAY, WA 98003-4551
(253) 517-3334
(253) 517-5695
Mailing address
33915 1ST WAY S, STE 120, FEDERAL WAY, WA 98003-4551
(253) 517-3334
(253) 517-5695
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
11/27/2012
Last updated
09/25/2020
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