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Individual

DR. IGOR URITSKIY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1740 NW MAPLE ST, STE 111, ISSAQUAH, WA 98027
(425) 394-1200
(425) 394-0100
Mailing address
MS 315010, PO BOX 3947, SEATTLE, WA 98124
(425) 688-5670
(425) 635-6388

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
81863
IL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD60153763
WA
235Z00000X
Speech-Language Pathologist
MD60153763
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2075182
WA
Enumeration date
09/03/2008
Last updated
06/27/2021
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