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Individual

DANIEL WALKER BUSHYHEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
16233 SYLVESTER RD SW STE 290, BURIEN, WA 98166-3067
(206) 431-9771
(206) 431-5484
Mailing address
16233 SYLVESTER RD SW STE 290, BURIEN, WA 98166-3067
(206) 431-9771
(206) 431-5484

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD60742811
WA
207RG0100X
Gastroenterology Physician
S5134
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2082890
WA
Enumeration date
04/29/2014
Last updated
11/27/2024
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