Individual
ANTHONY T MISTRETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1455 NW LEARY WAY STE 250, SEATTLE, WA 98107-5138
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
008157
AZ
207Q00000X
Family Medicine Physician
Primary
OP61276741
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720577877
—
WA
Enumeration date
05/04/2018
Last updated
06/01/2022
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