Organization
OUTPATIENT ANESTHESIA SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL P FLACCO M.D. (PROVIDER DESIGNEE)
(206) 244-1212
Entity
Organization
Contact information
Practice address
1100 PACIFIC AVE, SUITE 100, EVERETT, WA 98201-4261
(425) 339-2433
Mailing address
PO BOX 5908, BELLEVUE, WA 98006-0408
(206) 244-1212
(206) 244-1223
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0175855
L&I GROUP PIN
WA
05
—
7119225
—
WA
01
—
8785OU
REGENCE GROUP PIN
WA
Enumeration date
11/01/2006
Last updated
08/22/2020
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