Individual
MATTHEW JAMES LOGALBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 19TH AVE E, SEATTLE, WA 98112-4007
(206) 299-1600
Mailing address
500 19TH AVE E, SEATTLE, WA 98112-4007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD 60002369
WA
207Q00000X
Family Medicine Physician
ML20008584
WA
Other
Enumeration date
04/16/2007
Last updated
03/06/2014
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