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Organization

PACIFIC NORTHWEST FACIAL PLASTIC SURGERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WAYNE FOX LARRABEE M.D. (PHYSICIAN/OWNER)
(206) 386-3550
Entity
Organization

Contact information

Practice address
600 BROADWAY, SUITE 280, SEATTLE, WA 98122-5395
(206) 386-3550
(206) 386-3553
Mailing address
600 BROADWAY, SUITE 280, SEATTLE, WA 98122-5395
(206) 386-3550
(206) 386-3553

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
06/30/2009
Last updated
06/30/2009
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