Organization
SURGERY SUITE SPECIALIST, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK W ROMANO (OWNER)
(206) 909-2601
Entity
Organization
Contact information
Practice address
9701 NE 120TH PL, KIRKLAND, WA 98034-4275
(206) 909-2601
Mailing address
9701 NE 120TH PL, KIRKLAND, WA 98034-4275
(206) 909-2601
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA10002119
WA
Other
Enumeration date
01/25/2007
Last updated
08/13/2014
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