Organization
INTERVENTIONAL PAIN GROUP OF BELLEVUE PLLC
Active
Parent organization
INTERVENTIONAL PAIN GROUP OF BELLEVUE PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERVENTIONAL PAIN GROUP OF BELLEVUE PLLC
Authorized official
LARRY MIGGINS DC (MEMBER)
(206) 409-7100
Entity
Organization
Contact information
Practice address
1220 116TH AVE NE, SUITE 102, BELLEVUE, WA 98004
(206) 409-7100
Mailing address
304 S WATER ST, SUITE 103, ELLENSBURG, WA 98926
(206) 409-7100
(425) 984-1531
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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