Organization
VASECTOMY CLINIC PC
Active
Other names
Vasectomy Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES L WILSON M.D. (OWNER)
(206) 390-6406
Entity
Organization
Contact information
Practice address
5402 47TH AVE NE, SEATTLE, WA 98105-2927
(206) 525-4090
(206) 985-2875
Mailing address
5402 47TH AVE NE, SEATTLE, WA 98105-2927
(206) 525-4090
(206) 985-2875
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
00016624
WA
Other
Enumeration date
01/06/2014
Last updated
08/28/2019
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