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NPI Code Detail

MEDICARE: DR. JAMES G. MHYRE M.D.

MEDICARE:  DR. JAMES G. MHYRE  M.D.
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
1208600000XSurgery PhysicianMD00018543WA

General Provider Information

NPI Number : 1366401283
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES G. MHYRE M.D.
Provider Business Mailing Address
First Line : 805 MADISON ST
Second Line : SUITE 901
City : SEATTLE
State : WA
Zip : 98104-1172
Country : US
Telephone Number : 206-264-8100
Fax Number : 206-264-8689
Provider Business Practice Location Address
First Line : 12333 NE 130TH LN
Second Line : SUITE 420
City : KIRKLAND
State : WA
Zip : 98034-7467
Country : US
Telephone Number : 425-899-5500
Fax Number : 425-899-5529
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2006
Last Update Date : 10/07/2011

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Directions to “ DR. JAMES G. MHYRE M.D.” Practice Location

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