Individual
TIMOTHY J. BALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 15TH AVE E, SEATTLE, WA 98112-5260
(206) 326-3000
Mailing address
PO BOX 34581, SEATTLE, WA 98124-1581
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD00021107
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232505
LNI
WA
05
—
8114753
—
WA
Enumeration date
01/11/2007
Last updated
07/14/2009
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