Individual
HARRY L TEICHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
747 BROADWAY, SEATTLE, WA 98122-4379
(206) 215-2520
(206) 215-6364
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00032495
WA
207RG0100X
Gastroenterology Physician
Primary
MD00032495
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100013975
RR MEDICARE
WA
01
—
131375
L&I
WA
01
—
1514TE
REGENCE PROV #
WA
05
—
1821086174
—
WA
01
—
2300720
AETNA
WA
Enumeration date
10/11/2005
Last updated
11/06/2021
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