Organization
ALLSTARS MEDICAL EQUIPMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREY YURYEVICH MITYANIN (PRESIDENT)
(206) 708-7672
Entity
Organization
Contact information
Practice address
3202 15TH AVE W, SEATTLE, WA 98119-1705
(206) 708-7672
(206) 327-9473
Mailing address
3202 15TH AVE W, SEATTLE, WA 98119-1705
(206) 708-7672
(206) 327-9473
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
602759959
WA
Other
Enumeration date
11/12/2007
Last updated
09/11/2008
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