Individual
DR. EDWARD RANSFORD CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1601 5TH AVE STE 830, SEATTLE, WA 98101-3621
(206) 624-6051
(206) 623-7674
Mailing address
1601 5TH AVE STE 830, SEATTLE, WA 98101-3621
(206) 624-6051
(206) 623-7674
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32003
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32003
STATE LICENSE NUMBER
WA
Enumeration date
10/26/2006
Last updated
07/30/2008
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