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MR. PAUL HRISSIKOPOULOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2025 WHEATON WAY, SUITE 102, BREMERTON, WA 98310-4300
(360) 479-0809
(360) 377-3577
Mailing address
2025 WHEATON WAY, SUITE 102, BREMERTON, WA 98310-4300
(360) 479-0809
(360) 377-3577

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00020630
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
013194010
GROUP HEALTH COOPERATIVE
WA
05
1030105
WA
01
192575000
OWCP
WA
01
38300
LABOR AND INDUSTRIES
WA
01
911577098
UNIFORM MEDICAL PLAN
WA
01
911577098-02
KITSAP PHYSICIANS SERVICE
WA
01
HR8307
REGENCE
WA
Enumeration date
12/15/2006
Last updated
05/27/2008
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