Individual
DR. RULON JAN WAITE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19020 33RD AVE W, SUITE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1501
Mailing address
19020 33RD AVE W, SUITE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1374
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
240146-1
NY
2085R0202X
Diagnostic Radiology Physician
Primary
MD60555462
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2050669
—
WA
05
—
2778843
—
NY
Enumeration date
05/22/2006
Last updated
04/11/2017
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