Organization
RESTORIX MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN FALLOU (CEO)
(425) 688-3734
Entity
Organization
Contact information
Practice address
1015 25TH ST, ANACORTES, WA 98221-2703
(360) 899-4600
(360) 899-4601
Mailing address
PO BOX 190, BELLEVUE, WA 98009-0190
(425) 688-3730
(425) 453-6345
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/09/2011
Last updated
10/17/2012
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