Organization
DOWNEY PLASTIC SURGERY TR
Active
Other names
Downey Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES WILLIAM SCHNEIDER (PRES/CEO)
(206) 368-1700
Entity
Organization
Contact information
Practice address
1536 N 115TH ST, SUITE 105, SEATTLE, WA 98133-8400
(206) 368-1160
(206) 368-1159
Mailing address
1536 N 115TH ST, SUITE 105, SEATTLE, WA 98133-8400
(206) 368-1160
(206) 368-1159
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2966
AAAASF FACILITY ID
—
Enumeration date
03/18/2010
Last updated
03/18/2010
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