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Individual

DR. PETER JOSEPH MONTANO EDPAO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195
(206) 598-1819
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095

Taxonomy

Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
MD60842674
WA
208600000X
Surgery Physician
Primary
MD60842674
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1477992949
WA
Enumeration date
06/18/2013
Last updated
03/30/2021
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