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Individual

ANDRIY VITER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
401 15TH AVE SE, PUYALLUP, WA 98372-3715
(216) 421-5924
Mailing address
401 15TH AVE SE, PUYALLUP, WA 98372-3715
(216) 421-5924

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
60328188
WA
208M00000X
Hospitalist Physician
Primary
60328188
WA

Other

Enumeration date
07/17/2010
Last updated
08/02/2013
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