Organization
JOHN P. HACKETT, MD, P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN P. HACKETT MD (PRESIDENT)
(425) 456-0709
Entity
Organization
Contact information
Practice address
1603 116TH AVE NE, STE 112, BELLEVUE, WA 98004-3009
(425) 456-0709
(425) 456-0358
Mailing address
1603 116TH AVE NE, STE 112, BELLEVUE, WA 98004-3009
(425) 456-0709
(425) 456-0358
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD00013897
WA
Other
Enumeration date
03/24/2008
Last updated
03/24/2008
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