Organization
BALLARD PEDIATRIC CLINIC INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT W TELZROW MD (CEO)
(206) 783-9300
Entity
Organization
Contact information
Practice address
7554 15TH AVE NW, SEATTLE, WA 98117
(206) 783-9300
Mailing address
7554 15TH AVE NW, SEATTLE, WA 98117
(206) 783-9300
(206) 789-8404
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
07/17/2007
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