Organization
ALEXANDR CHATILO, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDR IVANOVICH CHATILO M.D. (PROVIDER)
(206) 366-5379
Entity
Organization
Contact information
Practice address
18526 FREMONT AVE N, SHORELINE, WA 98133-3821
(206) 366-5379
Mailing address
18526 FREMONT AVE N, SHORELINE, WA 98133-3821
(206) 366-5379
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD00044546
WA
Other
Enumeration date
12/29/2011
Last updated
12/29/2011
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