Individual
EDWARD SLOSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4225 HOYT AVE, SUITE A, EVERETT, WA 98203-2351
(425) 259-3122
Mailing address
4225 HOYT AVE, SUITE A, EVERETT, WA 98203-2351
(425) 259-3122
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD00036690
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0124473
LABOR AND INDUSTRY
WA
05
—
8232050
—
WA
01
—
MD00036690
STATE LICENSE NUMBER
WA
01
—
P00193334
RAILROAD MEDICARE
—
Enumeration date
05/31/2006
Last updated
01/13/2008
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