Organization
OPTISPAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE HADDAD MD (MEDICAL DIRECTOR, CHIEF MEDICAL OFF)
(206) 499-3819
Entity
Organization
Contact information
Practice address
12101 TUKWILA INTERNATIONAL BLVD STE 203, TUKWILA, WA 98168-2569
(206) 718-9531
(877) 839-6528
Mailing address
12201 TUKWILA INTERNATIONAL BLVD STE 209, TUKWILA, WA 98168-5121
(206) 718-9531
(877) 839-6528
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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