ALIREZA K ANISSIPOUR

WESTERN WASHINGTON MEDICAL GROUP INC PS

Dr ALIREZA K ANISSIPOUR is a male medical professional, specializing in Orthopedic Surgery. He graduated in 2009.

Contact

WESTERN WASHINGTON MEDICAL GROUP INC PS

3726 BROADWAY
SUITE 201
EVERETT
WA
982013788

Tel: 4253179119

ALIREZA K ANISSIPOUR Information

Npi 1033352968
Pac Id 4789808692
Professional Enrollment Id I20140616002270
Last Name ANISSIPOUR
First Name ALIREZA
Middle Name K
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2009
Primary Specialty ORTHOPEDIC SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name WESTERN WASHINGTON MEDICAL GROUP INC PS
Group Practice Pac Id 7517870314
Number Of Group Practice Members 91
Line 1 Street Address 3726 BROADWAY
Line 2 Street Address SUITE 201
Marker Of Address Line 2 Suppression
City EVERETT
State WA
Zip Code 982013788
Phone Number 4253179119
Hospital Affiliation Ccn 1 500014
Hospital Affiliation Lbn 1 PROVIDENCE REGIONAL MEDICAL CENTER EVERETT
Hospital Affiliation Ccn 2 500026
Hospital Affiliation Lbn 2 SWEDISH EDMONDS HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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