Organization
SEATTLE SPINE & REHABILITATION MEDICINE PS
Active
Other names
Seattle Spine & Rehabilitation Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD E SEROUSSI M.D. (MEDICAL DOCTOR)
(206) 861-8200
Entity
Organization
Contact information
Practice address
3213 EASTLAKE AVE E, SUITE A1, SEATTLE, WA 98102-7127
(206) 861-8200
Mailing address
3213 EASTLAKE AVENUE EAST, SUITE A1, SEATTLE, WA 98102-7127
(206) 861-8200
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
MD00031281
WA
Other
Enumeration date
09/03/2008
Last updated
12/14/2010
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