Organization
ATHENIX PHYSICIANS GROUP NORTHWEST, PLLC
Active
Other names
Athenix Body Sculpting Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES HAEFNER (ADMINISTRATION)
(949) 600-9931
Entity
Organization
Contact information
Practice address
636 120TH AVE NE STE 202, BELLEVUE, WA 98005-3028
(425) 454-2410
(425) 454-2259
Mailing address
636 120TH AVE NE STE 202, BELLEVUE, WA 98005-3028
(425) 454-2410
(425) 454-2259
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD 60033065
WA
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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