Individual
DR. HIROKI MITSUYAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6801
Mailing address
1100 9TH AVE, MS:M4-PFS, SEATTLE, WA 98101-2756
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
35386
AZ
2085R0001X
Radiation Oncology Physician
Primary
MD60178819
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088567
—
AZ
05
—
1164488086
—
WA
01
—
P00946045
RAILROAD MEDICARE
WA
Enumeration date
04/21/2006
Last updated
04/23/2013
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