Organization
EVERGREEN UROLOGY ASSOC INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST NOREHAD MD (OWNER/MD)
(425) 899-4646
Entity
Organization
Contact information
Practice address
12815 120TH AVE NE, SUITE E, KIRKLAND, WA 98034-3003
(425) 899-4646
Mailing address
12815 120TH AVE NE, SUITE E, KIRKLAND, WA 98034-3003
(425) 899-4646
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/09/2008
Last updated
05/22/2008
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