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Organization

EASTSIDE OB/GYN PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEAN R DYDELL M.D. (OWNER)
(425) 899-5000
Entity
Organization

Contact information

Practice address
12303 NE 130TH LN STE 450, KIRKLAND, WA 98034-3032
(425) 899-5000
(425) 899-5006
Mailing address
12303 NE 130TH LN STE 450, KIRKLAND, WA 98034-3032
(425) 899-5000
(425) 899-5006

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00038545
WA

Other

Enumeration date
03/06/2009
Last updated
07/17/2013
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