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Individual

DR. RICHARD ALLEN WADDELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1550 N 115TH ST, MAIL STOP: D-149, SEATTLE, WA 98133-8401
(206) 368-1849
Mailing address
2330 NW 99TH ST, SEATTLE, WA 98117-2525
(206) 789-8038

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00042822
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8389868
WA
Enumeration date
10/05/2006
Last updated
07/08/2007
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