Organization
SOUND UROLOGICAL ASSOCIATES P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EVA M SAMTAMANN (ADMINISTRATOR)
(425) 775-7166
Entity
Organization
Contact information
Practice address
21822 76TH AVE W, EDMONDS, WA 98026-7900
(425) 775-7166
(425) 672-8844
Mailing address
21822 76TH AVE W, EDMONDS, WA 98026-7900
(425) 775-7166
(425) 672-8844
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
BL005871
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS9060
RAILROAD MEDICARE
WA
Enumeration date
02/14/2007
Last updated
12/09/2013
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