Organization
FOURTH CORNER NEUROSURGICAL ASSOCIATES INC PS
Active
Parent organization
FOURTH CORNER NEUROSURGICAL ASSOCIATES
Other names
Cascade Outpatient Spine Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOURTH CORNER NEUROSURGICAL ASSOCIATES
Authorized official
DR. TUNG HA D.O. (MEDICAL DIRECTOR)
(360) 676-0922
Entity
Organization
Contact information
Practice address
710 BIRCHWOOD AVE, SUITE 101, BELLINGHAM, WA 98225-1720
(360) 676-0922
Mailing address
710 BIRCHWOOD AVE STE 103, BELLINGHAM, WA 98225-1720
(360) 527-0404
(360) 527-0407
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/04/2014
Last updated
07/05/2022
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