Organization
REGENERATIVE MEDICAL GROUP WASHINGTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYN HENDERSON (OWNER)
(425) 899-2525
Entity
Organization
Contact information
Practice address
11415 SLATER AVE NE STE 102, KIRKLAND, WA 98033-4656
(425) 899-2525
Mailing address
11415 SLATER AVE NE STE 102, KIRKLAND, WA 98033-4656
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/21/2018
Last updated
01/25/2021
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