Individual
GRANT SCULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 16TH AVE E, SEATTLE, WA 98112-5211
(206) 326-3530
Mailing address
125 16TH AVE E, SEATTLE, WA 98112-5211
(206) 326-3530
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00038782
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8277386
—
WA
Enumeration date
11/02/2005
Last updated
05/03/2021
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