Individual
DR. YURI TSIRULNIKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
(360) 814-6880
(360) 814-6885
Mailing address
1400 E. KINCAID STREET, ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
60203919
WA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
60203919
WA
Other
Enumeration date
05/24/2007
Last updated
03/29/2018
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