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Individual

DR. TRAVIS LOYD PIESTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2000
Mailing address
PO BOX 5371, RC-504, SEATTLE, WA 98145-6062
(206) 987-2000

Taxonomy

Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
A124852
CA
2080P0206X
Pediatric Gastroenterology Physician
Primary
MD61401139
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1518251636
WA
Enumeration date
06/06/2011
Last updated
02/27/2023
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