Individual
DR. BRUCE JOSEPH SANGEORZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 731-3462
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD00023733
WA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
MD00023733
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0231815
L&I
WA
05
—
1245314970
—
WA
01
—
200012199
RAIL ROAD MEDICARE
WA
Enumeration date
10/25/2006
Last updated
09/27/2011
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