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Individual

DR. ANDRIUS P SKUCAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12040 NE 128TH ST, #69, EVERGREEN MEDICAL CENTER, KIRKLAND, WA 98034-3013
(425) 899-3455
Mailing address
5733 26TH AVE NE, SEATTLE, WA 98105-5505
(206) 527-5963

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00039982
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0062001
L & I
WA
01
8401119
DSHS
WA
Enumeration date
11/21/2005
Last updated
07/08/2007
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