Basic Information
| Provider Information | |||||||||
| NPI: | 1295156784 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SOUND PLASTIC SURGERY PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8612 45TH AVE NE | ||||||||
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| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981153853 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4257760880 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4915 25TH AVE NE | ||||||||
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| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981055667 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4257760880 | ||||||||
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| ProviderEnumerationDate: | 12/30/2013 | ||||||||
| LastUpdateDate: | 12/30/2013 | ||||||||
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| AuthorizedOfficialLastName: | SATTLER | ||||||||
| AuthorizedOfficialFirstName: | SCOTT | ||||||||
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| AuthorizedOfficialTitleorPosition: | MD/OWNER | ||||||||
| AuthorizedOfficialTelephone: | 4257760880 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208200000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Plastic Surgery |
No ID Information.