Individual
AGNES REKA STOGICZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-4260
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
TR60122247
WA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
TR60122247
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0262666
L&I
WA
05
—
1407173271
—
WA
Enumeration date
05/03/2010
Last updated
05/20/2011
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