Provider Demographics
NPI:1184865198
Name:SEATTLE UROLOGICAL ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:SEATTLE UROLOGICAL ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:QUIMOSING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-292-6488
Mailing Address - Street 1:1221 MADISON ST
Mailing Address - Street 2:#1210
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-3588
Mailing Address - Country:US
Mailing Address - Phone:206-292-6488
Mailing Address - Fax:206-623-2436
Practice Address - Street 1:1221 MADISON ST
Practice Address - Street 2:#1210
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-3588
Practice Address - Country:US
Practice Address - Phone:206-292-6488
Practice Address - Fax:206-623-2436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-20
Last Update Date:2009-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty