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Individual

DR. JASON PATRICK IZARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1959 NE PACIFIC ST, BOX 356510, SEATTLE, WA 98195-0001
(206) 543-4740
Mailing address
1959 NE PACIFIC ST, BOX 356510, SEATTLE, WA 98195-0001
(206) 543-4740
(206) 543-3272

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
FE60221930
WA

Other

Enumeration date
06/28/2012
Last updated
06/28/2012
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