Organization
CABRINI TOWER AMBULATORY SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHIL CARL HAECK M.D. (PHYSICIAN)
(206) 464-0873
Entity
Organization
Contact information
Practice address
901 BOREN AVE STE 1650, SEATTLE, WA 98104-3508
(206) 464-0873
(206) 467-7351
Mailing address
901 BOREN AVE STE 1650, SEATTLE, WA 98104-3508
(206) 464-0873
(206) 467-7351
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
6023535960010001
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6023535960010001
UBI NO.
WA
Enumeration date
10/10/2006
Last updated
08/22/2020
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