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Organization

BELLEVUE UROLOGY ASSOCIATES INC PS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT M WEISSMAN MD MD (MD & PRESIDENT)
(425) 454-8016
Entity
Organization

Contact information

Practice address
1135 NE 116TH AVE, SUITE 620, BELLEVUE, WA 98004
(425) 454-8016
(425) 453-2827
Mailing address
1135 NE 116TH AVE, SUITE 620, BELLEVUE, WA 98004
(425) 454-8016
(425) 453-2827

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
MD00015152
WA
208800000X
Urology Physician
Primary
MD00022748
WA
208800000X
Urology Physician
MD00022864
WA
208800000X
Urology Physician
MD00034094
WA
208800000X
Urology Physician
MD00040391
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7098601
WA
Enumeration date
07/02/2006
Last updated
02/17/2010
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