Individual
PAUL E. PESHECK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21601 76TH AVE W, EDMONDS, WA 98026-7507
(425) 640-4000
(206) 672-0211
Mailing address
PO BOX 34960, SEATTLE, WA 98124-1960
(503) 372-2740
(503) 372-2754
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00016724
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8287203
—
WA
Enumeration date
05/19/2006
Last updated
07/08/2007
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