Organization · NPI-2
Advanced Regenerative Medicine INC
Pediatrics, Sports Medicine · Seattle, WA
NPI number1306517149
StatusActive
Last updated in NPPESSep 22, 2021
Details
- NPI
- 1306517149
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Regenerative Medicine INC
- Organization subpart
- No
- Enumeration date
- Sep 22, 2021
- Certification date
- Sep 17, 2021
- Last updated
- Sep 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080S0010X | Pediatrics, Sports Medicine | – | – | Yes |
| 208000000X | Pediatrics | – | – |
Practice location
464 12th Ave Ste 203Seattle, WA 98122-7050
Phone 631-827-5549
Mailing address
1220 269th Ct SeSammamish, WA 98075-5965
Authorized official
Danielle Magrini
President
6318275549
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