Individual
ROY GUNNAR BENSON RETLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCP
Contact information
Practice address
1959 NE PACIFIC ST, DEPARTMENT OF CARDIOTHORACIC SURGERY, SEATTLE, WA 98195-0001
(206) 598-7401
Mailing address
1700 TAYLOR AVE N APT 203, SEATTLE, WA 98109-2947
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
1290691319
MS
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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