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Individual

MR. AMIR ABDUL-JABBAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
550 17TH AVE FL 5, SEATTLE, WA 98122-5788
(206) 386-3880
(206) 386-3882
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD60744420
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/14/2012
Last updated
04/09/2021
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