Organization
ALAN ITKIN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN ITKIN PA-C (OWNER/PHYSICIAN ASSISTANT)
(425) 442-2607
Entity
Organization
Contact information
Practice address
11656 98TH AVE NE, KIRKLAND, WA 98034-4216
(425) 823-8818
Mailing address
2452 W LAKE SAMMAMISH PKWY SE, BELLEVUE, WA 98008-5536
(425) 442-2607
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA60120226
WA
Other
Enumeration date
05/31/2013
Last updated
05/31/2013
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