Individual
JOEL ALAN GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
HARBORVIEW MEDICAL CENTER, 325 9TH AVE, SEATTLE, WA 98104
(206) 731-3105
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00039501
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0231113
L&I
WA
05
—
1659438844
—
WA
01
—
268330
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
01/03/2007
Last updated
01/17/2013
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