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Individual

STUART GARRIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
113 CEDAR CREST LN, BELLEVUE, WA 98004-6725
(425) 457-0353
Mailing address
113 CEDAR CREST LN, BELLEVUE, WA 98004-6725
(425) 457-0353

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD00015213
WA
207ND0900X
Dermatopathology Physician
MD00015213
WA
2084P0800X
Psychiatry Physician
MD00015213
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1407854706
MEDICARE NPI
WA
01
AG7768875
PRESCRIPTION AUTHORITY
WA
01
MD00015213
MEDICAL LICENSE
WA
Enumeration date
07/11/2005
Last updated
11/18/2016
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