Individual
DR. ALIREZA K ANISSIPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3726 BROADWAY, SUITE 201, EVERETT, WA 98201-3787
(425) 317-9119
Mailing address
1728 W MARINE VIEW DR, SUITE 110, EVERETT, WA 98201-2094
(425) 259-4041
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
OP60435741
WA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
OP60435741
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033352968
—
WA
Enumeration date
04/07/2009
Last updated
01/16/2017
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