Individual
LARRY K DIPBOYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 OLIVE WAY MSC M4-PA, SEATTLE, WA 98101-1873
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00037508
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039581
LABOR & INDUSTRY
WA
05
—
8242356
—
WA
01
—
930086693
RAILROAD MEDICARE
—
01
—
DI2541
BLUE SHIELD
WA
01
—
MD3180
ALASKA MEDICAID
WA
01
—
US5835725
AETNA/USHC SPECIALIST
WA
Enumeration date
08/30/2006
Last updated
07/06/2012
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