Organization
SEATTLE INFECTIOUS DISEASE CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP JASON SKUDA JD (MANAGER)
(206) 329-0338
Entity
Organization
Contact information
Practice address
509 OLIVE WAY, SUITE 752, SEATTLE, WA 98101-1720
(206) 329-0338
Mailing address
PO BOX 24303, SEATTLE, WA 98124-0303
(203) 329-0338
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
07/23/2014
Last updated
07/24/2014
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