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Organization

THE POLYCLINIC PLLC

Active
Other names
Optum - Broadway
Organization subpart
No

Provider details

NPI number
Authorized official
CRAIG PEPIN (PHYSICIAN/OWNER)
(206) 860-5414
Entity
Organization

Contact information

Practice address
1145 BROADWAY, SEATTLE, WA 98122-4201
(206) 329-1760
Mailing address
1145 BROADWAY, SEATTLE, WA 98122-4201
(206) 329-1760

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
207N00000X
Dermatology Physician
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
207V00000X
Obstetrics & Gynecology Physician
207W00000X
Ophthalmology Physician
207X00000X
Orthopaedic Surgery Physician
207Y00000X
Otolaryngology Physician
208000000X
Pediatrics Physician
208200000X
Plastic Surgery Physician
2084N0400X
Neurology Physician
2085B0100X
Body Imaging Physician
208600000X
Surgery Physician
208M00000X
Hospitalist Physician
231H00000X
Audiologist
Primary

Other

Enumeration date
01/31/2006
Last updated
05/13/2024
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