Individual
DR. JAMIE R ANTOINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12911 120TH AVE NE STE H210, KIRKLAND, WA 98034
(425) 823-4000
(425) 821-3550
Mailing address
12911 120TH AVE NE STE G10, KIRKLAND, WA 98034-3048
(425) 823-4000
(425) 821-3550
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD60007110
WA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD60007110
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1090846
—
WA
Enumeration date
09/14/2006
Last updated
03/23/2022
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