Individual
DR. ALEXANDR IVANOVICH CHATILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1530 N 115TH ST, SUITE 305, SEATTLE, WA 98133-8411
(206) 362-2464
(206) 362-2141
Mailing address
1530 N 115TH ST, SUITE 305, SEATTLE, WA 98133-8411
(206) 362-2464
(206) 362-2141
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD00044546
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8418121
—
WA
Enumeration date
07/05/2006
Last updated
07/09/2007
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