Organization
PETER SHALIT, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A MCCLARTY (OFFICE MANAGER)
(206) 624-1441
Entity
Organization
Contact information
Practice address
901 BOREN AVE STE 850, SEATTLE, WA 98104-3301
(206) 624-0688
Mailing address
901 BOREN AVE STE 850, SEATTLE, WA 98104-3301
(206) 624-0688
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00023946
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1301498
—
WA
01
—
4207422
AETNA
WA
01
—
70246
L&I
WA
01
—
SH2229
REGENCE BLUE SHIELD
WA
Enumeration date
01/22/2008
Last updated
10/10/2024
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