Individual
PETER DERRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6541 50TH AVE NE, SEATTLE, WA 98115-7736
(415) 596-8017
Mailing address
6541 50TH AVE NE, SEATTLE, WA 98115-7736
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD60138640
WA
Other
Enumeration date
05/22/2008
Last updated
06/04/2017
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