Individual
JAMES M RUSTAMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
611 12TH AVE S, SUITE 200, SEATTLE, WA 98144-1910
(206) 324-9360
(206) 324-8910
Mailing address
PO BOX 3364, SEATTLE, WA 98114-3364
(206) 324-9360
(206) 324-8910
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003158
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8331894
—
WA
Enumeration date
03/10/2006
Last updated
07/08/2007
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