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Organization

PROSTATE CANCER CENTER OF SEATTLE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PETER D GRIMM D.O. (MEMBER)
(206) 328-4215
Entity
Organization

Contact information

Practice address
9730 3RD AVE NE STE 208, SEATTLE, WA 98115-2023
(206) 453-2992
Mailing address
9730 3RD AVE NE STE 208, SEATTLE, WA 98115-2023
(206) 453-2992

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
602885512
WA

Other

Enumeration date
06/22/2009
Last updated
05/06/2014
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