Organization
MARINA PARK PLASTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZACHARY P JOOS MD (OWNER)
(425) 655-1200
Entity
Organization
Contact information
Practice address
16 CENTRAL WAY, KIRKLAND, WA 98033-6115
(425) 655-1200
Mailing address
16 CENTRAL WAY, KIRKLAND, WA 98033-6115
(425) 655-1200
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1476308
—
WA
Enumeration date
08/29/2020
Last updated
08/29/2020
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