Organization
IMMUNE DISEASE TREATMENT SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL J BRODIE III M.D. (MEDICAL DOCTOR OWNER)
(425) 378-0110
Entity
Organization
Contact information
Practice address
14100 SE 36TH ST STE 105, BELLEVUE, WA 98006-1657
(425) 378-0110
(425) 378-0220
Mailing address
14100 SE 36TH ST STE 105, BELLEVUE, WA 98006-1657
(425) 378-0110
(425) 378-0220
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD00027570
WA
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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