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Individual

GREGORY JAMES ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1550 N 115TH, NORTHWEST HOSPITAL, SEATTLE, WA 98133
(206) 368-1744
(206) 368-1398
Mailing address
10700 MERIDIAN AVE N, STE 505, SEATTLE, WA 98133-9008
(206) 365-4100
(206) 368-6898

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
G046247
CA
2085R0202X
Diagnostic Radiology Physician
Primary
MD00024406
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1106AL
REGENCE
01
139363
LI
WA
01
300111928
RAILROAD
WA
01
55900
LI
WA
05
7822109
WA
05
8135865
WA
01
910849248
TAX ID
01
WE4663
REGENCE
Enumeration date
03/22/2006
Last updated
04/01/2015
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