Individual
VIRGINIA P SYBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-6127
(206) 616-2135
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD00016301
WA
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
MD00016301
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033294855
—
WA
01
—
84760
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
10/27/2006
Last updated
06/25/2021
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