Individual
HA-NEUL SEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7320 216TH ST SW STE 200, EDMONDS, WA 98026-8006
(425) 640-4900
(425) 640-4919
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
53270
KY
207R00000X
Internal Medicine Physician
Primary
MD70018285
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2349679
—
WA
Enumeration date
06/23/2017
Last updated
02/24/2026
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