Organization
EVERETT UROLOGICAL, PLLC.
Active
Other names
EVERETT UROLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EARL DAN BARDIN M.D. (PRESIDENT)
(425) 252-2313
Entity
Organization
Contact information
Practice address
4225 HOYT AVE STE C, EVERETT, WA 98203-2351
(425) 252-2313
Mailing address
4225 HOYT AVE STE C, EVERETT, WA 98203-2351
(425) 252-2313
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
WH20734
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027812
—
WA
Enumeration date
03/13/2007
Last updated
12/10/2010
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