Organization
EDMONDS ANESTHESIA ASSOCIATES INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN G. MILLER MD (PRESIDENT)
(503) 372-2740
Entity
Organization
Contact information
Practice address
21601 76TH AVE W, EDMONDS, WA 98026-7507
(425) 640-4000
Mailing address
PO BOX 34960, SEATTLE, WA 98124-1960
(503) 372-2740
(503) 372-2754
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7031388
—
WA
Enumeration date
05/04/2006
Last updated
07/12/2007
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