Individual
PHOENIX A HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2324 EASTLAKE AVE E STE 500, SEATTLE, WA 98102-6536
(206) 543-8606
Mailing address
2324 EASTLAKE AVE E STE 500, PO BOX 50095, SEATTLE, WA 98102-6536
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
MD00046491
WA
Other
Enumeration date
08/29/2006
Last updated
02/15/2010
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