Organization
ISSAQUAH INTERNAL MEDICINE ASSOCIATES, PLLC
Active
Organization
ISSAQUAH INTERNAL MEDICINE ASSOCIATES, PLLC
Active
Other names
Vicki Rouillard M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI M ROUILLARD M.D. (MD)
(425) 391-0313
Entity
Organization
Contact information
Practice address
450 NW GILMAN BLVD STE 301A, ISSAQUAH, WA 98027
(425) 391-0313
(425) 837-8501
Mailing address
PO BOX 1225, ISSAQUAH, WA 98027-0047
(425) 391-0313
(425) 837-8501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00032314
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123345
DEPT OF LABOR AND INDUSTR
WA
05
—
7090491
—
WA
01
—
CN9619
RAILROAD MEDICARE
—
Enumeration date
01/18/2006
Last updated
05/31/2011
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