Individual
MATTHEW SALAZAR SURRUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4033 TALBOT RD S STE 530, RENTON, WA 98055-5700
(425) 690-3433
(254) 690-9433
Mailing address
4033 TALBOT RD S STE 530, RENTON, WA 98055-5700
(425) 690-3433
(254) 690-9433
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD60875669
WA
2086S0102X
Surgical Critical Care Physician
MC-2774
ID
2086S0127X
Trauma Surgery Physician
Primary
MD60875669
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2105120
—
WA
Enumeration date
05/10/2012
Last updated
10/28/2024
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