Organization
PUGET SOUND PLASTIC SURGICAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN CHARLES MCINTOSH M.D. (OWNER)
(425) 420-2663
Entity
Organization
Contact information
Practice address
12301 NE 10TH PL STE 101, BELLEVUE, WA 98005-2487
(425) 420-2663
(425) 409-6262
Mailing address
PO BOX 723, KIRKLAND, WA 98083-0723
(425) 420-2663
(425) 409-6262
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
60123704
WA
Other
Enumeration date
11/09/2010
Last updated
07/21/2022
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