Organization
VITREORETINAL ASSOCIATES PLLC
Active
Other names
Vitreoretinal Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG G WELLS M.D. (OWNER)
(206) 215-3850
Entity
Organization
Contact information
Practice address
1221 MADISON ST, SUITE 1002, SEATTLE, WA 98104-3588
(206) 215-3850
(206) 215-3870
Mailing address
1221 MADISON ST, SUITE 1002, SEATTLE, WA 98104-3588
(206) 215-3850
(206) 215-3870
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7081888
—
WA
Enumeration date
05/05/2006
Last updated
08/22/2020
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