Organization
SEATTLE EXTRACORPOREAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRIS LATOUSEK CCP (PERFUSIONIST)
(206) 391-9822
Entity
Organization
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
524 5TH AVE W APT 100, SEATTLE, WA 98119-3942
(864) 918-5662
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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