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ADELAIDE HEARST MCCLINTOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4245 ROOSEVELT WAY NE, 4TH FLOOR, SEATTLE, WA 98105-6008
(206) 598-8722
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60400824
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1639478498
WA
Enumeration date
03/19/2011
Last updated
12/01/2014
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