Organization
ISSAQUAH WOMEN'S AND FAMILY CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA C HOLMES MD (OWNER)
(425) 651-4338
Entity
Organization
Contact information
Practice address
22500 SE 64TH PL, SUITE 120, ISSAQUAH, WA 98027-8111
(425) 651-4338
(425) 651-4388
Mailing address
22500 SE 64TH PLACE, SUITE 120, ISSAQUAH, WA 98027-8111
(425) 651-4338
(425) 651-4388
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60004074
WA
207V00000X
Obstetrics & Gynecology Physician
MD00037841
WA
Other
Enumeration date
08/17/2012
Last updated
09/06/2012
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