Individual
LARRY G DUCKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-6161
(206) 598-4022
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
MD00016657
WA
207YX0901X
Otology & Neurotology Physician
Primary
MD00016657
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1735
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
10/13/2006
Last updated
11/08/2017
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