Organization
STANLEY HERSCHBERG D.O.P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY HERSCHBERG D.O. (PRESIDENT)
(206) 362-6300
Entity
Organization
Contact information
Practice address
10564 5TH AVE NE STE 401, SEATTLE, WA 98125-7200
(206) 362-6300
(206) 362-6301
Mailing address
10564 5TH AVE NE STE 401, SEATTLE, WA 98125-7200
(206) 362-6300
(206) 362-6301
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
40000692
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366905
—
WA
Enumeration date
02/24/2010
Last updated
02/24/2010
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