Organization
EVERGREEN DIABETES & ENDOCRINOLOGY MEDICAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD COURTRIGHT LA CAVA M.D. (OWNER)
(425) 899-6414
Entity
Organization
Contact information
Practice address
13118 121ST WAY NE, SUITE 103, KIRKLAND, WA 98034-3004
(425) 899-6414
(425) 899-4066
Mailing address
13118 121 WAY NE, SUITE 103, KIRKLAND, WA 98034-3004
(425) 899-6414
(425) 899-4066
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
602612648
WA
Other
Enumeration date
08/10/2006
Last updated
07/23/2008
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