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Individual

DR. PETER S HARTWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
16233 SYLVESTER RD SW, G-20, BURIEN, WA 98166-3045
(206) 431-9771
(206) 431-5484
Mailing address
16233 SYLVESTER RD SW, G-20, BURIEN, WA 98166-3045
(206) 431-9771
(206) 431-5484

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD00019997
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100016506
RR MEDICARE
WA
05
1083583
WA
01
2216827
AETNA
WA
01
43442
L&I
WA
01
HA6009
REGENCE PROV #
WA
Enumeration date
10/11/2005
Last updated
04/29/2008
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