Individual
DR. PETER BRIERLEY ODLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1229 MADISON ST, SUITE 1480, SEATTLE, WA 98104-3586
(206) 346-6647
(206) 346-6022
Mailing address
1229 MADISON ST, SUITE 1480, SEATTLE, WA 98104-3586
(206) 346-6647
(206) 346-6022
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD00026929
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8722OD
BLUE CROSS BLUE SHIELD
—
01
—
OD4638
BLUE CROSSBLUE SHIELD
—
Enumeration date
10/17/2006
Last updated
02/07/2012
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