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Individual

DR. SALLY ELLEN PEACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, PHD

Contact information

Practice address
4800 SAND POINT WAY NE # OC.7830, SEATTLE, WA 98105
(206) 987-2525
Mailing address
4800 SAND POINT WAY NE # OC.7830, SEATTLE, WA 98105-3901
(206) 987-2525

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD61140792
WA
208M00000X
Hospitalist Physician
Primary
MD61140792
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ML60865407
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
03/18/2018
Last updated
04/11/2023
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