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Individual

DAVIS CHARLES PITT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1551 NW 54TH ST, SEATTLE, WA 98107-3845
(206) 782-3383
(206) 782-9585
Mailing address
1551 NW 54TH ST, SEATTLE, WA 98107-3845
(206) 782-3383
(206) 782-9585

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
OP00001162
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8182990
WA
Enumeration date
06/01/2006
Last updated
07/08/2007
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