Individual
JOE M SKARIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
21911 76TH AVE W, #110, EDMONDS, WA 98026-7918
(425) 640-4950
(425) 640-4958
Mailing address
21911 76TH AVE W, #110, EDMONDS, WA 98026-7918
(425) 640-4950
(425) 640-4958
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP60095250
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8548372
—
WA
Enumeration date
06/07/2006
Last updated
03/18/2010
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