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Individual

STEVEN GOTTLIEB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2205 W LINCOLN AVE, YAKIMA, WA 98902-2437
(509) 469-6305
(509) 575-3398
Mailing address
2205 W LINCOLN AVE, YAKIMA, WA 98902-2437
(509) 469-6305
(509) 575-3398

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00030027
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22553
GROUP HEALTH
01
8140923
CHPW
WA
05
8140923
WA
01
911019392
COMMERCIAL
01
GO5843
REGENCE
WA
Enumeration date
10/03/2006
Last updated
03/18/2021
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