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Individual

DR. JOHN D PRYOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1100 PACIFIC AVE, SUITE 300, EVERETT, WA 98201-4261
(425) 339-2433
(425) 339-8273
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
(206) 264-8689

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
222521
MA
207X00000X
Orthopaedic Surgery Physician
Primary
MD60170138
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G8893550
MEDICARE NON-KING CO.
WA
Enumeration date
04/30/2008
Last updated
11/08/2011
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