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Individual

PETER ALLAN TALBOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
611 12TH AVE S, SUITE 200, SEATTLE, WA 98144-1910
(206) 324-9360
(206) 324-8910
Mailing address
PO BOX 3364, SEATTLE, WA 98114-3364
(206) 324-9360
(206) 324-8910

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD00015009
WA
208000000X
Pediatrics Physician
Primary
MD00015009
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1237205
WA
Enumeration date
03/03/2006
Last updated
03/09/2021
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