Individual
EDNEA A. SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 17TH AVE, 5TH FLOOR, SEATTLE, WA 98122-5788
(206) 215-1440
(206) 215-1441
Mailing address
550 17TH AVE, 5TH FLOOR, SEATTLE, WA 98122-5788
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD00044096
WA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MD00044096
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
246360
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8441875
—
WA
Enumeration date
10/17/2006
Last updated
09/09/2010
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