Individual
DANIEL W GOTTLIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PS
Contact information
Practice address
16122 8TH AVE SW STE D1, BURIEN, WA 98166-2967
(206) 241-7146
Mailing address
PO BOX 66596, SEATTLE, WA 98166-0596
(206) 241-7146
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD00021018
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060009854
RR MEDICARE
WA
05
—
1001585
—
WA
Enumeration date
08/24/2005
Last updated
06/26/2024
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