Organization
RON COVERDALE OD PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES RON COVERDALE OD (PRESIDENT)
(425) 485-3051
Entity
Organization
Contact information
Practice address
6830 NE BOTHELL WAY, SUITE B, KENMORE, WA 98028-3546
(425) 485-3051
(425) 482-2441
Mailing address
6830 NE BOTHELL WAY, SUITE B, KENMORE, WA 98028-3546
(425) 485-3051
(425) 482-2441
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00000895
WA
Other
Enumeration date
11/28/2007
Last updated
03/09/2010
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