Organization
SPENCER VASCULAR DIAGNOSTIC SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT SEIDEL (CEO)
(206) 999-7737
Entity
Organization
Contact information
Practice address
701 16TH AVE, SEATTLE, WA 98122-4525
(206) 991-7737
Mailing address
701 16TH AVE, SEATTLE, WA 98122-4525
(206) 999-7737
Taxonomy
Speciality
Code
Description
License number
State
246XC2903X
Vascular Specialist/Technologist Cardiovascular
Primary
203BC0100X
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002401
—
WA
01
—
195992
L&I PROVIDER NUMBER
WA
Enumeration date
05/11/2006
Last updated
06/13/2012
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