Individual
GLEN F HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-7530
(206) 583-6580
Mailing address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 583-6063
(206) 583-6580
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA100001135
WA
Other
Enumeration date
11/03/2009
Last updated
03/08/2010
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