Individual
MATTHEW PALETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
911 N 10TH PL, RENTON, WA 98057-0009
(425) 391-5700
(425) 391-5701
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60791811
WA
390200000X
Student in an Organized Health Care Education/Training Program
4301105143
MI
Other
Enumeration date
06/27/2014
Last updated
03/17/2018
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