Individual
DR. CAROL RADLO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12910 TOTEM LAKE BLVD NE, SUITE 101, KIRKLAND, WA 98034-2954
(425) 814-5000
Mailing address
12910 TOTEM LAKE BLVD NE, SUITE 101, KIRKLAND, WA 98034-2954
(425) 814-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00019974
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8627200
—
WA
Enumeration date
10/19/2005
Last updated
07/08/2007
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