Individual
MR. CRAIG R VILLARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
510 8TH AVE NE STE 310, ISSAQUAH, WA 98029
(425) 454-3938
(425) 392-3561
Mailing address
510 8TH AVE NE STE 310, ISSAQUAH, WA 98029-5436
(425) 454-3938
(425) 392-3561
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
73869
GA
207Y00000X
Otolaryngology Physician
A128811
CA
207Y00000X
Otolaryngology Physician
Primary
MD60921000
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2121854
—
WA
Enumeration date
04/07/2009
Last updated
04/13/2019
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