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NPI Code Detail

MEDICARE: DR. ANDREW URY M.D.

MEDICARE: DR. ANDREW URY 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
1207Q00000XFamily Medicine PhysicianMD 00017548WA

General Provider Information

NPI Number : 1417180480
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW URY M.D.
Provider Business Mailing Address
First Line : 1100 DEXTER AVE N
Second Line : SUITE 100
City : SEATTLE
State : WA
Zip : 98109-3598
Country : US
Telephone Number : 206-274-1506
Fax Number : 206-558-0512
Provider Business Practice Location Address
First Line : 1100 DEXTER AVE N
Second Line : SUITE 100
City : SEATTLE
State : WA
Zip : 98109-3598
Country : US
Telephone Number : 206-274-1506
Fax Number : 206-558-0512
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2009
Last Update Date : 08/25/2009

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Directions to “ DR. ANDREW URY M.D.” Practice Location

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