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Individual

ANDREW A WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1959 NE PACIFIC ST, C-212, BOX 356340, SEATTLE, WA 98195-6340
(206) 543-0065
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
(206) 520-3186

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00046864
WA
208M00000X
Hospitalist Physician
Primary
MD00046864
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2574WH
BLUE SHIELD # VM
WA
05
8502866
WA
Enumeration date
09/07/2006
Last updated
04/16/2017
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