Individual
DR. GREGORY A KOMENDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3101 NORTHUP WAY STE 201, BELLEVUE, WA 98004-1449
(425) 455-3600
(425) 455-3920
Mailing address
510 8TH AVE NE STE 320, ISSAQUAH, WA 98029-5436
(425) 455-3600
(425) 455-3920
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00035536
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0117250
L & I
WA
01
—
200029611
MEDICARE RR KING CO.
WA
01
—
G8854590
MEDICARE EMRI
WA
01
—
G8861208
MEDICARE POSM
WA
Enumeration date
03/22/2006
Last updated
05/13/2024
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