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Individual

ALISA J. BLITZ-SEIBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8042 NW WILDCAT LAKE RD, BREMERTON, WA 98312-9571
(360) 204-4054
Mailing address
1100 WHEATON WAY, SUITE F&G, BREMERTON, WA 98310-4459
(360) 621-2696
(844) 602-4646

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00045992
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8464430
WA
Enumeration date
01/04/2007
Last updated
02/13/2017
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