Individual
DMITRI V VASIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
840 CALLAHAN DR, STE A, BREMERTON, WA 98310
(360) 479-0349
(360) 479-0065
Mailing address
840 CALLAHAN DR, STE A, BREMERTON, WA 98310
(360) 479-0349
(360) 479-0065
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD00038345
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1036VA
REGENCE BLUE SHIELD
—
05
—
1110634
—
WA
Enumeration date
05/19/2006
Last updated
07/08/2007
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