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Individual
DAVID EVAN LISTON
Active
Individual
DAVID EVAN LISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
MD60035791
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP4-0026369
INSTITUTIONAL PERMIT
—
Enumeration date
05/26/2007
Last updated
06/21/2010
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