Individual
DR. JEFFREY B. CANTOR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19401 40TH AVE W, SUITE 100, LYNNWOOD, WA 98036-4612
(425) 744-7153
Mailing address
19401 40TH AVE W, SUITE 100, LYNNWOOD, WA 98036-4612
(425) 744-7153
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00028853
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8116311
—
WA
Enumeration date
10/19/2005
Last updated
07/08/2007
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