Individual
NELS SAMPATACOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5125 OLYMPIC DR NW STE 110, GIG HARBOR, WA 98335-1712
(253) 853-4000
Mailing address
904 7TH AVE, SEATTLE, WA 98104-0001
(206) 860-5578
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD60366024
WA
208600000X
Surgery Physician
ML20008976
WA
Other
Enumeration date
07/20/2007
Last updated
07/25/2019
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