Individual
DR. PETER RICHARD KOLLROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE CHILDREN'S HOSPTIAL M/S B5552, SEATTLE, WA 98105-5552
(206) 987-2078
(206) 987-2649
Mailing address
M/S B5552 PO BOX 5371, SEATTLE CHILDREN'S HOSPTIAL, SEATTLE, WA 98145-5552
(206) 987-2078
(206) 987-2649
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MD 60111285
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD 60111285
STATE LICENSE
WA
Enumeration date
06/01/2006
Last updated
03/26/2012
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