Individual
ROGER A NIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2501 N 45TH ST, SEATTLE, WA 98103-6909
(206) 526-5222
(206) 675-1460
Mailing address
2501 N 45TH ST, SEATTLE, WA 98103-6909
(206) 526-5222
(206) 675-1460
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
TD60045515
WA
Other
Enumeration date
10/08/2008
Last updated
10/24/2008
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