Individual
MARTIN LEE DAVID GUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
TR00041282
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0231119
L&I
WA
05
—
1104983303
—
WA
01
—
294930
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
01/03/2007
Last updated
10/24/2019
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