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NPI Code Detail

MEDICARE: SEATTLE REPRODUCTIVE SURGERY CENTER

MEDICARE: SEATTLE REPRODUCTIVE SURGERY CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center

General Provider Information

NPI Number : 1023162831
Entity Type Code : Organization
Provider Name (Legal Business Name) : SEATTLE REPRODUCTIVE SURGERY CENTER
Provider Business Mailing Address
First Line : 1505 WESTLAKE AVE N
Second Line : SUITE 400
City : SEATTLE
State : WA
Zip : 98109-3050
Country : US
Telephone Number : 206-301-5000
Fax Number :
Provider Business Practice Location Address
First Line : 1505 WESTLAKE AVE N
Second Line : SUITE 400
City : SEATTLE
State : WA
Zip : 98109-3050
Country : US
Telephone Number : 206-301-5000
Fax Number :
Authorized Official
Title or Position : MANAGING PARTNER
Name : DR. MICHAEL ROY SOULES
Credential : M.D.
Telephone Number : 206-301-5000
Provider Enumeration Date : 01/22/2007
Last Update Date : 08/22/2020

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1194818088 — DR. ANGELA C THYER M.D.
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1366597932 — SEATTLE REPRODUCTIVE MEDICINE
Practice Location Address:
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98109-3050
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Practice Fax: 206-285-4555

Directions to “SEATTLE REPRODUCTIVE SURGERY CENTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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