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TYE PATCHANA DO

Individual Provider (NPI-1) Active

Neurological Surgery

Provider Information

NPI Number
1740774306
Provider Type
Individual Provider (NPI-1)
Credentials
DO
Status
Active

Contact & Location

Address
550 17TH AVE STE 110, SEATTLE, WA, 981225789
Phone
(206) 320-3470
Fax
(206) 320-3471

Specialties & Taxonomies

Neurological Surgery License: WA #OP61639223
Neurological Surgery Primary License: CA #20A17792

All Addresses

MAILING

PO BOX 25608

SALT LAKE CITY, UT, 841250608

(206) 320-4476

LOCATION

550 17TH AVE STE 110

SEATTLE, WA, 981225789

(206) 320-3470