Individual
KEITH T PAIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 OLIVE WAY MSC M4-PA, SEATTLE, WA 98101-1873
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD00036238
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039572
LABOR & INDUSTRY
WA
01
—
240007287
RAILROAD MEDICARE
—
05
—
8229619
—
WA
01
—
MD8236
ALASKA MEDICAID
WA
01
—
PA0297
BLUE SHIELD
WA
01
—
US1037407
AETNA/USHC SPECIALIST
WA
Enumeration date
08/14/2006
Last updated
01/24/2011
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