Individual
DR. PEDRO T. VIECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19020 33RD AVE W, STE 210, LYNNWOOD, WA 98036-4746
(425) 563-1500
(425) 563-1374
Mailing address
19020 33RD AVE W, STE 210, LYNNWOOD, WA 98036-4746
(425) 563-1500
(425) 563-1374
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
MD00034305
WA
2085R0202X
Diagnostic Radiology Physician
MD00034305
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117421
L&I PROVIDER
WA
01
—
120222
L&I PROVIDER
WA
01
—
175981
L&I PROVIDER
WA
01
—
197515
L&I PROVIDER
WA
01
—
204124
L&I PROVIDER ID
WA
05
—
8199176
—
WA
01
—
P01279540
RR MEDICARE
WA
Enumeration date
01/05/2006
Last updated
02/09/2015
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