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Individual

DR. JOHN CLEMETT

Active
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Individual

DR. JOHN CLEMETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
MD00031112
WA
2085R0202X
Diagnostic Radiology Physician
Primary
MD00031112
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0348930
L & I - RADIA-REST OF WA
WA
01
0348932
L & I - RADIA-KING COUNTY
WA
01
0348933
L & I - SWEDISH RADIA
WA
01
0348935
L & I - EVERGREEN RADIA
WA
05
1000592
WA
01
109454
L&I
WA
01
300068357
RAILROAD MEDICARE
01
4484036
AETNA
05
8149999
WA
01
8919559
CRIME VICTIMS
01
CL5689
REGENCE
Enumeration date
02/17/2006
Last updated
03/20/2017
Update your record

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