Individual
DR. JOHN BRADLEY PLASTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 N MAIN ST, COUPEVILLE, WA 98239-3413
(360) 678-5151
Mailing address
505 S 336TH ST, SUITE 600, FEDERAL WAY, WA 98003-6328
(253) 838-6180
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00028660
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8129116
—
WA
Enumeration date
06/11/2006
Last updated
07/11/2007
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