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Individual

DR. JOHN HAMILTON ADDISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9725 SE 36TH ST STE 214, MERCER ISLAND, WA 98040-3840
(206) 275-3588
(206) 275-2073
Mailing address
PO BOX 1526, MERCER ISLAND, WA 98040-1526
(206) 275-3588
(206) 275-2073

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DR.0072381
CO
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD00018359
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0186507
WA
05
9000231634
CO
Enumeration date
05/16/2006
Last updated
09/27/2024
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