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Individual

DOUGLAS EDWARD HUTCHINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
877 E GWINN PL, SEATTLE, WA 98102-3811
(907) 455-6110
Mailing address
877 E GWINN PL, SEATTLE, WA 98102-3811

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1499
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00WCGRLD
MEDICARE
05
MD1499
AK
Enumeration date
05/14/2008
Last updated
05/14/2008
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