Organization
SPENCER VASCULAR DIAGNOSTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AJAY P ZACHARIAH (COO)
(206) 320-4400
Entity
Organization
Contact information
Practice address
1600 E JEFFERSON ST, SUITE 500, SEATTLE, WA 98122-5698
(206) 320-4455
(206) 320-3160
Mailing address
1600 E JEFFERSON ST, SUITE 500, SEATTLE, WA 98122-5698
(206) 320-4455
(206) 320-3160
Taxonomy
Speciality
Code
Description
License number
State
246XC2903X
Vascular Specialist/Technologist Cardiovascular
Primary
206BC0100X
WA
Other
Enumeration date
02/02/2009
Last updated
02/02/2009
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