Organization
PLASTIC SURGERY ASSOCIATES OF SEATTLE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY LEE PETERS (MANAGING PARTNER)
(206) 464-0873
Entity
Organization
Contact information
Practice address
901 BOREN AVE, SUITE 1650, SEATTLE, WA 98104-3595
(206) 464-0873
Mailing address
901 BOREN AVE, SUITE 1650, SEATTLE, WA 98104
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00025723
WA
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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