Organization
EASTSIDE PREMIER MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY S. DONLAN M.D. (PHYSICIAN)
(425) 284-3377
Entity
Organization
Contact information
Practice address
2950 NORTHUP WAY, SUITE 210, BELLEVUE, WA 98004-1406
(425) 284-3377
(425) 827-1040
Mailing address
2950 NORTHUP WAY, SUITE 210, BELLEVUE, WA 98004-1406
(425) 284-3377
(425) 827-1040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00032729
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2950DO
REGENCE
WA
Enumeration date
12/04/2006
Last updated
12/06/2007
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