Individual
CHRISTOPHER RYAN GAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6861
Mailing address
1100 9TH AVE, M4-PFS, SEATTLE, WA 98101-2756
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
MD456885
PA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MT202141
PA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
MD61001203
WA
Other
Enumeration date
06/22/2012
Last updated
02/06/2020
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