Organization
ASSOCIATED VALLEY OBSTETRICS AND GYNECOLOGY, INC., P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY K LEWIS (ADMINISTRATOR)
(425) 251-3454
Entity
Organization
Contact information
Practice address
4011 TALBOT RD S STE 430, RENTON, WA 98055-5791
(425) 251-3454
(206) 575-2616
Mailing address
4011 TALBOT RD S STE 430, RENTON, WA 98055-5791
(425) 251-3454
(206) 575-2616
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2444907
—
WA
Enumeration date
11/29/2006
Last updated
07/16/2010
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