Organization
VASCULAR SURGERY NW PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN HB YU MD (PRESIDENT)
(253) 572-2844
Entity
Organization
Contact information
Practice address
11311 BRIDGEPORT WAY SW, #203, LAKEWOOD, WA 98499
(253) 572-2844
(253) 572-2841
Mailing address
11311 BRIDGEPORT WAY SW, #203, LAKEWOOD, WA 98499
(253) 572-2844
(253) 572-2841
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0430430
L AND I
—
05
—
7076797
—
WA
Enumeration date
02/08/2006
Last updated
10/03/2007
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