Organization
RENOVO MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL HAMILL (OPERATIONS MANAGER)
(425) 778-2220
Entity
Organization
Contact information
Practice address
19930 BALLINGER WAY NE, SHORELINE, WA 98155-1223
(425) 778-2220
Mailing address
19930 BALLINGER WAY NE, SHORELINE, WA 98155-1223
(425) 778-2220
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
29486
WA
Other
Enumeration date
04/30/2014
Last updated
01/04/2018
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