Individual
ALEXANDER GOUGOUTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1229 MADISON ST # 1660, SEATTLE, WA 98104-3586
(206) 860-5582
Mailing address
1145 BROADWAY, SEATTLE, WA 98122-4201
(206) 860-5414
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD60276102
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821154790
—
WA
01
—
8909038
MEDICARE PIN
WA
Enumeration date
12/28/2006
Last updated
09/12/2023
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