Individual
EFFIE W PETERSDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
825 EASTLAKE AVE E, SEATTLE, WA 98109-4405
(206) 288-1000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD00020961
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8153116
—
WA
Enumeration date
05/29/2007
Last updated
07/09/2007
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