Individual
DAVID J CARLBOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 9TH AVE, BOX 359702, SEATTLE, WA 98104-2420
(206) 744-3263
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00038476
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD00038476
WA
207RP1001X
Pulmonary Disease Physician
MD00038476
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039581
L&I
WA
05
—
1003844713
—
WA
Enumeration date
06/29/2006
Last updated
12/11/2013
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