Individual
JACK S CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 UNION ST, STE 1704, SEATTLE, WA 98101-2341
(206) 623-6111
Mailing address
601 UNION ST, STE 1704, SEATTLE, WA 98101-2341
(206) 623-6111
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0021821
WA
Other
Enumeration date
02/11/2007
Last updated
07/08/2007
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