Individual
MATTHEW LLOYD MESICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
412 11TH AVE APT 206, SEATTLE, WA 98122
(206) 491-2438
Mailing address
801 S STEVENS ST, SPOKANE, WA 99204-2654
(509) 747-4455
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD60851484
WA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD60851484
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528327988
NPI
WA
Enumeration date
05/04/2012
Last updated
07/23/2018
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