Individual
JAMES COSTAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
325 9TH AVE, HMC 3.EC.27, BOX 359702, SEATTLE, WA 98104-2420
(206) 744-8334
Mailing address
325 9TH AVE, HMC 3.EC.27, BOX 359702, SEATTLE, WA 98104-2420
(206) 744-8334
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD60868121
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2015
Last updated
07/31/2019
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