Individual
GORDON LEE KRITZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 9TH AVE, MS:M4-PFS, SEATTLE, WA 98101-2756
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD00029582
WA
207RI0011X
Interventional Cardiology Physician
Primary
MD00029582
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060025977
RAILROAD MEDICARE
WA
01
—
806382700
IDAHO MEDICAID
WA
05
—
8142697
—
WA
01
—
KR4228
SNOHOMISH COUNTY
WA
01
—
MD450WA
ALASKA MEDICAID
WA
Enumeration date
02/03/2006
Last updated
01/14/2015
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