Organization
CITY OF SEATTLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BRIAN WALLACE (PARAMEDIC CAPTAIN MEDICAL SERVICES)
(206) 661-7602
Entity
Organization
Contact information
Practice address
301 2ND AVE S, SEATTLE, WA 98104-2680
(206) 386-1400
Mailing address
325 9TH AVENUE, ROOM 2CT99, BOX 359727, SEATTLE, WA 98104
(206) 661-7602
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
08/07/2024
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