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Individual

DR. DANIEL VERNON HOLBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1501
Mailing address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1374

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
M-12278
ID
2085R0202X
Diagnostic Radiology Physician
MD60025847
WA
2085R0204X
Vascular & Interventional Radiology Physician
M-12278
ID
2085R0204X
Vascular & Interventional Radiology Physician
MD-26329
HI
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD60025847
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0310078
L&I-RADIA REST OF WA
WA
01
0310079
L&I-SWEDISH RADIA EDMONDS
WA
01
0310080
L&I-EVERGREEN RADIA
WA
01
0378809
L&I-RADIA KING CTY
WA
01
0404518
L&I-SEATTLE RADIOLOGY
WA
05
1750527743
ID
05
1750527743
WA
05
2022757
WA
Enumeration date
12/23/2008
Last updated
12/04/2025
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