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Individual

DR. JUSTIN AARON SIEGAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19020 33RD AVE W, SUITE 210, LYNNWOOD, WA 98036-4746
(425) 563-1500
(425) 563-1501
Mailing address
19020 33RD AVE W, SUITE 210, LYNNWOOD, WA 98036-4746
(425) 563-1500
(425) 563-1374

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
M-12982
ID
2085N0700X
Neuroradiology Physician
Primary
MD00042038
WA
2085R0202X
Diagnostic Radiology Physician
M-12982
ID
2085R0202X
Diagnostic Radiology Physician
MD00042038
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0039587
L&I
WA
05
1015172
WA
01
1639184518
MONTANA DSHS
MT
01
234770
LNI-KING COUNTY
WA
01
341472
LNI OUTSIDE KING COUNTY
WA
01
3445SI
REGENCE
WA
01
US7398683
AETNA/USHS PIN
WA
Enumeration date
07/29/2006
Last updated
03/08/2018
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