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Organization

EASTSIDE MEDICINE PS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HARRY PEPE III MD (OWNER)
(425) 318-4848
Entity
Organization

Contact information

Practice address
18920 BOTHELL WAY NE, SUITE 203, BOTHELL, WA 98011-1981
(425) 318-4848
(786) 975-2643
Mailing address
18920 BOTHELL WAY NE, SUITE 203, BOTHELL, WA 98011-1981
(425) 318-4848
(786) 975-2643

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00026250
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8120255
WA
Enumeration date
12/28/2007
Last updated
12/28/2007
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