Organization
SULLIVAN PULMONARY CLINIC TR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CHARLES SCHNEIDER (PRES/CEO)
(206) 368-1700
Entity
Organization
Contact information
Practice address
1550 N 115TH ST, MS 107, SEATTLE, WA 98133-8401
(206) 368-6560
Mailing address
1530 N 115TH ST, SUITE 107, SEATTLE, WA 98133-8421
(206) 368-6560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/29/2010
Last updated
04/04/2011
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