Organization
SEATTLE SPINE GROUP, PLLC
Active
Other names
Seattle Regenerative Medicine Center
Organization subpart
No
Provider details
NPI number
Authorized official
LUCY SEIPLE HOSTETTER MD (MANAGING MEMBER)
(425) 454-0406
Entity
Organization
Contact information
Practice address
1220 116TH AVE NE STE 102, BELLEVUE, WA 98004
(425) 454-0406
(425) 454-8225
Mailing address
1220 116TH AVE NE STE 102, BELLEVUE, WA 98004-3826
(425) 454-0406
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD60174685
WA
207X00000X
Orthopaedic Surgery Physician
MD00040889
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD60174685
STATE MEDICAL LICENSE
WA
Enumeration date
07/17/2018
Last updated
06/11/2019
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