Individual
GORDON LEE KRITZER
Active
Individual
GORDON LEE KRITZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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