Individual
DR. GEOFFREY E SULTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
202 N DIVISION ST, 400, AUBURN, WA 98001-4939
(253) 293-5453
(866) 581-5147
Mailing address
PO BOX 2078, AUBURN, WA 98071-2078
(253) 293-5453
(866) 581-5147
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
4301080108
MI
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD60011758
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0238519
LABOR AND INDUSTTRY
WA
05
—
2696239
—
OH
01
—
3114SU
REGENCE
WA
05
—
8525024
—
WA
Enumeration date
06/28/2006
Last updated
08/15/2012
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