Organization
RESTORIX MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN FALLOU (CEO)
(425) 688-3734
Entity
Organization
Contact information
Practice address
1515 116TH AVE NE, SUITE 300, BELLEVUE, WA 98004-3811
(425) 313-4800
(425) 391-1689
Mailing address
PO BOX 190, #210, BELLEVUE, WA 98009-0190
(425) 688-3730
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OP60152113
WA
Other
Enumeration date
06/09/2010
Last updated
10/18/2012
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