Organization
DANIEL W. GOTTLIEB, M.D., P.S.
Active
Other names
Daniel W. Gottlieb, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL W GOTTLIEB MD (OWNER)
(206) 241-7146
Entity
Organization
Contact information
Practice address
16259 SYLVESTER RD SW, SUITE 401, BURIEN, WA 98166-3049
(206) 241-7146
Mailing address
16259 SYLVESTER RD SW, SUITE 401, BURIEN, WA 98166-3049
(206) 592-5000
(206) 824-9510
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060009854
RR MEDICARE
WA
05
—
1001585
—
WA
Enumeration date
07/22/2006
Last updated
08/28/2015
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