Organization
AGILITY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW WETZEL (VP OF OPERATIONS)
(510) 921-8193
Entity
Organization
Contact information
Practice address
700 15TH ST SW, AUBURN, WA 98001-6558
(425) 903-2064
Mailing address
607 DEWEY AVE NW, SUITE 300, GRAND RAPIDS, MI 49504-7335
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
A160308321
WA
Other
Enumeration date
04/25/2015
Last updated
04/25/2015
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