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Individual

DR. SCOTT A BILDSTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
OP00001711
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0264427
STATE L&I
WA
01
0264446
STATE L&I
WA
01
0264450
STATE L&I
WA
01
0291738
STATE L&I
WA
Enumeration date
09/04/2006
Last updated
05/30/2012
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