Individual
ERIC RYAN SHIBLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4700 36TH AVE SW, SEATTLE, WA 98126-2716
(206) 938-4291
(206) 938-4483
Mailing address
4700 36TH AVE SW, SEATTLE, WA 98126-2716
(206) 938-4291
(206) 260-1412
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
60108064
WA
Other
Enumeration date
12/29/2008
Last updated
08/17/2017
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