Individual
ERIC QUENTIN KONNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST, BOX 356100, SEATTLE, WA 98195-0001
(206) 598-6400
(206) 598-3803
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
Primary
MD60296017
WA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD60296017
WA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
MD60296017
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609190446
—
WA
Enumeration date
03/23/2010
Last updated
07/10/2015
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