Individual
MARY L MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1550 N 115TH ST, SEATTLE, WA 98133-8401
(206) 520-5000
Mailing address
1550 N 115TH ST, SEATTLE, WA 98133-8401
(206) 520-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00030995
WA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
MD00030995
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356393664
—
WA
Enumeration date
05/16/2006
Last updated
06/14/2019
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