Individual
HEATHER ROMA KROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
415 1ST AVE N, SUITE 200, SEATTLE, WA 98109-4744
(206) 859-5030
(206) 859-5031
Mailing address
415 1ST AVE N, SUITE 200, SEATTLE, WA 98109-4744
(206) 859-5030
(206) 859-5031
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD00036552
WA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
MD00036552
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4300KR
REGENCE BLUE SHIELD
WA
01
—
7919156
AETNA
WA
Enumeration date
09/14/2006
Last updated
11/15/2012
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