Organization · Type 2 NPI
Provascular Surgery Associates PLLC
Vascular Surgery Physician · Renton, WA
NPI number
1174851810
Active
Practice location
4300 Talbot Rd S, Ste 101
Renton, WA 98055-6328
Fax (425) 793-6045
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | MD60106870 (WA) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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Other vascular surgery physician providers in Renton
About NPI 1174851810
Provascular Surgery Associates PLLC's National Provider Identifier is 1174851810, issued on Nov 18, 2009. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Renton, WA. The record was last updated on Dec 12, 2014.