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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MAKSPORTSMD

Active Organization

MAKSPORTSMD is a Sports Medicine organization located in BOTHELL, Washington. NPI 1417469404 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine · BOTHELL, WA

Registration Details

NPI Number
1417469404
Provider Type
Organization
NPI Issued
Oct 30, 2017 (8.833206994167 yrs)
Last Updated
Oct 30, 2017
License
60465979 (WA)

Practice Information

Address
19110 BOTHELL WAY NE STE 102
BOTHELL, WA, 980112970
Browse WA providers · Browse ZIP 98011
Phone
4252868271
Fax
4254917271
Primary Specialty
Sports Medicine
207QS0010X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.