Organization
SOUND UROLOGICAL ASSOCIATES P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE HARRISON (ADMINISTRATOR)
(425) 670-8950
Entity
Organization
Contact information
Practice address
21822 76TH AVE W, EDMONDS, WA 98026-7900
(425) 775-7166
(425) 672-8844
Mailing address
21822 76TH AVE W, EDMONDS, WA 98026-7900
(425) 775-7166
(425) 672-8844
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
50C0001173
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
490004506
RAILROAD MEDICARE
WA
Enumeration date
06/11/2006
Last updated
05/31/2013
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