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Organization

ISSAQUAH MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL P HOURIGAN (ADMINISTRATOR)
(425) 391-0705
Entity
Organization

Contact information

Practice address
450 NW GILMAN BLVD STE 201, ISSAQUAH, WA 98027-2483
(425) 391-0705
(425) 391-9562
Mailing address
450 NW GILMAN BLVD STE 201, ISSAQUAH, WA 98027-2483
(425) 391-0705
(425) 391-9562

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00043371
WA

Other

Enumeration date
01/30/2007
Last updated
03/07/2023
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