Individual
IAIN MISTROT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
UNIVERSITY OF WASHINGTON 354070 GRAVES BUILDING, SEATTLE, WA 98195-0001
(206) 616-0156
Mailing address
20320 124TH AVE NE, BOTHELL, WA 98011-7658
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A160694547
WA
Other
Enumeration date
04/25/2020
Last updated
04/25/2020
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