Individual
MARIANNE EMMANUELLE DUBARD-GAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1221 MADISON ST STE 500, SEATTLE, WA 98104-1388
(206) 386-2552
(206) 215-3959
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60974578
WA
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
MD60974578
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447678206
—
WA
05
—
2140453
—
WA
Enumeration date
03/30/2014
Last updated
11/02/2024
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