Organization
SURGICAL ASSOCIATES NORTHWEST, P.C.
Active
Parent organization
SURGICAL ASSOCIATES NORTHWEST, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SURGICAL ASSOCIATES NORTHWEST, P.C.
Authorized official
PAM STANFILL (OFFICE MANAGER)
(253) 661-2591
Entity
Organization
Contact information
Practice address
34612 6TH AVE S STE 110, FEDERAL WAY, WA 98003-8723
(253) 661-2594
(253) 661-2694
Mailing address
34612 6TH AVE S, SUITE 210, FEDERAL WAY, WA 98003-8723
(253) 661-2594
(253) 661-2694
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
—
—
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7125081
—
WA
Enumeration date
11/09/2006
Last updated
07/12/2024
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