Individual
MARCIO A SOTERO DE MENEZES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 BROADWAY STE 400, SEATTLE, WA 98122-5312
(206) 215-1440
(206) 215-1441
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MD00034001
WA
2084N0600X
Clinical Neurophysiology Physician
MD00034001
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003997362
—
WA
01
—
4821
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8197725
—
WA
Enumeration date
10/17/2006
Last updated
09/13/2019
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