Individual
JOHN D. PUTNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
611 31ST AVE SW, PUYALLUP, WA 98373
(253) 445-7100
Mailing address
PO BOX 34581, SEATTLE, WA 98124-1581
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD00016138
WA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
MD00016138
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8423402
—
WA
Enumeration date
05/02/2007
Last updated
07/31/2009
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