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Individual

ENRIQUE R ENGUIDANOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3000
(425) 502-3589
Mailing address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3000
(425) 502-3589

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00037187
WA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
MD00037187
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8245425
WA
Enumeration date
05/18/2006
Last updated
10/20/2021
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