Organization
GAVIN M. DRY, M.D., P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAVIN M. DRY M.D. (OWNER)
(425) 821-6000
Entity
Organization
Contact information
Practice address
13114 120TH AVE NE, KIRKLAND, WA 98034-3014
(425) 821-6000
(425) 820-6288
Mailing address
13114 120TH AVE NE, KIRKLAND, WA 98034-3014
(425) 821-6000
(425) 820-6288
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD00035648
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1112622
—
WA
01
—
151770
WORKER'S COMP
WA
01
—
3230DR
REGENCE BLUE SHIELD
WA
Enumeration date
08/24/2006
Last updated
08/22/2020
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