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Individual

MARTIN MAIMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14900 INTERURBAN AVE S, TUKWILA, WA 98168-4635
(206) 795-7510
Mailing address
14900 INTERURBAN AVE S, TUKWILA, WA 98168-4635
(206) 795-7510

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00038662
WA
208000000X
Pediatrics Physician
Primary
MD00038662
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
807493200
ID
05
8270415
WA
Enumeration date
05/28/2006
Last updated
01/21/2026
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