Organization
NEUROSURGICAL CONSULTANTS OF WASHINGTON, INC P S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB N YOUNG MD (DOCTOR)
(425) 456-0922
Entity
Organization
Contact information
Practice address
1515 116TH AVE NE, SUITE 302, BELLEVUE, WA 98004-3811
(425) 456-0922
(425) 688-1588
Mailing address
1515 116TH AVE NE, SUITE 302, BELLEVUE, WA 98004-3811
(425) 456-0922
(425) 688-1588
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD00034595
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043312648
NPI
WA
05
—
8206716
—
WA
Enumeration date
04/11/2007
Last updated
09/27/2007
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