Maksportsmd
Maksportsmd is a Sports Medicine (Family Medicine) Physician in Bothell, Washington. Licensed in Washington. Registered with an NPI since 2017.
- Licensed in
- WA
- In the registry since
- 2017
Practice location Address checks out
19110 Bothell Way NE Ste 102Bothell, WA 98011-2970
Phone: (425) 286-8271
Fax: (425) 491-7271
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Family Medicine) Physician (primary) | Taxonomy 207QS0010X · Licence 60465979 (WA) |
|---|
Record details
| NPI number | 1417469404 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Abimbolu Makinde — Owner · (425) 286-8271 |
| NPI enumerated | October 30, 2017 |
| Last updated in NPPES | October 30, 2017 |
| Mailing address | 19110 Bothell Way Ne Ste 102, Bothell, WA 98011-2970 |