Individual
SAMAR AZZAIDANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA61339658
WA
363AS0400X
Surgical Physician Assistant
Primary
PA61339658
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/28/2021
Last updated
11/18/2022
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