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Individual

STEVE LARS RISA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4538 177TH AVE SE, BELLEVUE, WA 98006-6519
(425) 444-6154
Mailing address
4538 177TH AVE SE, BELLEVUE, WA 98006-6519
(425) 444-6154

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
22205
WA

Other

Enumeration date
01/28/2010
Last updated
06/27/2012
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