Organization
BARIATRIC SURGERY CLINIC TRUST
Active
Other names
SEATTLE PACIFIC SURGEONS/NICOLE WHITE/BENJAMIN LERNER/TERENCE QUIGLEY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES W SCHNEIDER (CEO)
(206) 368-1700
Entity
Organization
Contact information
Practice address
1560 N 115TH ST, SUITE 102, SEATTLE, WA 98133-8414
(206) 368-1070
(206) 363-4172
Mailing address
1560 N 115TH ST, SUITE 102, SEATTLE, WA 98133-8414
(206) 368-1070
(206) 363-4172
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD00043626
MEDIC AL LICENSE
—
Enumeration date
11/26/2007
Last updated
11/11/2010
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