Organization
PRO MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DEDOMENICO (OWNER)
(425) 861-6273
Entity
Organization
Contact information
Practice address
4455 148TH AVE NE, BELLEVUE, WA 98007-3120
(425) 861-6273
Mailing address
4455 148TH AVE NE, BELLEVUE, WA 98007-3120
(425) 861-6273
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
133V00000X
Registered Dietitian
—
—
213E00000X
Podiatrist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
11/17/2023
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