Individual
DR. DANIEL PEPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1135 116TH AVE NE, SUITE 305, BELLEVUE, WA 98004-4623
(425) 453-1772
(425) 453-0603
Mailing address
1135 116TH AVE NE STE 305, BELLEVUE, WA 98004-4623
(425) 453-1772
(425) 453-0603
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD00018502
WA
2086S0129X
Vascular Surgery Physician
Primary
MD00018502
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020049785
RR MEDICARE
WA
05
—
1362300
—
WA
Enumeration date
07/03/2006
Last updated
03/03/2015
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