Individual
MR. DANIEL EDWARD PUTLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3000
Mailing address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60887751
WA
363AS0400X
Surgical Physician Assistant
60887751
WA
Other
Enumeration date
10/08/2018
Last updated
05/04/2021
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