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Individual

DR. TINA JEAN NEIDERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
900 LAKESIDE AVE S, SEATTLE, WA 98144-3320
(206) 325-7307
(206) 325-4659
Mailing address
900 LAKESIDE AVE S, SEATTLE, WA 98144-3320
(206) 325-7307
(206) 325-4659

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00038828
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8266686
WA
Enumeration date
12/13/2006
Last updated
07/08/2007
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