Individual
PAVEL VLADIMIROVICH KOLPIKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3020 S UNION AVE, TACOMA, WA 98409-3317
(425) 269-6069
Mailing address
16150 NE 11TH ST, BELLEVUE, WA 98008-3502
(425) 269-6069
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60621923
WA
207Q00000X
Family Medicine Physician
Primary
ML61243548
WA
207R00000X
Internal Medicine Physician
ML61243548
WA
Other
Enumeration date
01/18/2020
Last updated
04/08/2024
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