Organization
SILVERDALE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIRAN S AL AGBA (PHYSICIAN OWNER)
(360) 692-8588
Entity
Organization
Contact information
Practice address
9615 LEVIN ROAD, SUITE 101, SILVERDALE, WA 98383
(360) 692-8588
(360) 692-7030
Mailing address
9615 LEVIN ROAD, SUITE 101, SILVERDALE, WA 98383
(360) 692-8588
(360) 692-7030
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7113574
—
WA
Enumeration date
03/09/2007
Last updated
08/22/2020
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