Organization
REDMOND AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY FOR ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
18100 NE UNION HILL RD STE 340, REDMOND, WA 98052
(425) 507-0767
Mailing address
PO BOX 920024, DALLAS, TX 75392-0024
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
603570646
WA
Other
Enumeration date
02/24/2017
Last updated
05/16/2025
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