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Individual

CYNTHIA G NODELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 OLIVE WAY MSC M4-PA, SEATTLE, WA 98101-1873

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00027716
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0039587
LABOR & INDUSTRY
WA
01
1194NO
BLUE SHIELD
WA
05
8198012
WA
01
US2376821
AETNA/USHC SPECIALIST
WA
Enumeration date
08/14/2006
Last updated
04/09/2008
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