Individual
ETHAN BABCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
747 BROADWAY, SEATTLE, WA 98122-4379
(206) 386-6000
Mailing address
747 BROADWAY, SEATTLE, WA 98122-4379
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60170770
WA
Other
Enumeration date
08/19/2008
Last updated
04/12/2014
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