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Organization

NOCD WASHINGTON PC

Active
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Organization

NOCD WASHINGTON PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LARRY TRUSKY (COO)
(847) 436-3265
Entity
Organization

Contact information

Practice address
2320 130TH AVE NE STE 110, BELLEVUE, WA 98005-1752
(425) 822-0242
Mailing address
225 N MICHIGAN AVE STE 1430, CHICAGO, IL 60601-7653
(847) 436-3265

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
03/30/2020
Last updated
03/30/2020
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