Individual
DR. JOEL C KONIKOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 BROADWAY, SUITE 530, SEATTLE, WA 98122-5229
(206) 789-5418
(206) 784-9744
Mailing address
PO BOX 1643, MERCER ISLAND, WA 98040-1643
(206) 789-5418
(206) 784-9744
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD00014204
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2015306
—
WA
Enumeration date
11/08/2006
Last updated
08/31/2016
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