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Individual

CHRISTINA T. EIDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1229 MADISON ST STE 1440, SEATTLE, WA 98104-3538
(206) 625-0578
(206) 625-9184
Mailing address
925 SENECA ST, MS H8-GME, SEATTLE, WA 98101-2742
(206) 583-6079
(206) 583-2307

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD60464753
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G8930964
MEDICARE
WA
Enumeration date
03/19/2010
Last updated
08/25/2014
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