Individual
DR. GARY PHILLIP CHIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,PHD
Contact information
Practice address
1600 116TH AVE NE, SUITE 206, BELLEVUE, WA 98004-3014
(425) 818-0558
(888) 557-3062
Mailing address
1600 116TH AVE NE, SUITE 206, BELLEVUE, WA 98004-3014
(425) 818-0558
(888) 557-3062
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
036-115660
IL
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
MD434765
PA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD60319630
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07080018400
QUALCHOICE
AR
05
—
165028001
—
AR
01
—
5N905
BCBS
AR
01
—
E5236
ARKANSAS MEDICAL LICENSE
AR
01
—
P00401878
RAILROAD MEDICARE
AR
Enumeration date
03/20/2007
Last updated
02/19/2014
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