Organization
PROVASCULAR SURGERY ASSOCIATES PLLC
Active
Organization
PROVASCULAR SURGERY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS L SU MD (PHYSICIAN/OWNER)
(425) 227-4341
Entity
Organization
Contact information
Practice address
4300 TALBOT RD S, STE 101, RENTON, WA 98055-6328
(425) 227-4341
(425) 793-6045
Mailing address
4300 TALBOT RD S, STE 101, RENTON, WA 98055-6238
(425) 227-4341
(425) 793-6045
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD60106870
WA
Other
Enumeration date
11/18/2009
Last updated
12/12/2014
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