Individual
JOHN L MIGNONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1600 E JEFFERSON ST STE 600, SEATTLE, WA 98122-5649
(206) 215-4545
(206) 215-4550
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60069013
WA
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
MD60069013
WA
207RC0000X
Cardiovascular Disease Physician
MD60069013
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194834127
—
WA
Enumeration date
08/30/2006
Last updated
10/07/2020
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