Individual
ANDREW STEVEN MANOLIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 521-5180
(425) 656-5390
Mailing address
PO BOX 84571, SEATTLE, WA 98124-5871
(425) 251-5180
(425) 656-5390
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD60406441
WA
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD60406441
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174847123
—
WA
01
—
G8943297
MEDICARE, DON'T KNOW WHICH IDENTIFIES FORMAT IT IS
WA
Enumeration date
03/19/2010
Last updated
01/27/2016
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