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Individual

DR. PAUL ROBERT HERSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
122 16TH AVE E, SEATTLE, WA 98112-5212
(206) 326-3490
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD00026690
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8116477
WA
Enumeration date
01/05/2007
Last updated
11/09/2009
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