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Individual

AARON KYLE VILLARREAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 341-0860
(206) 583-2307
Mailing address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 341-0860
(206) 583-2307

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60475578
WA
208M00000X
Hospitalist Physician
Primary
01075998A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000965091
ANTHEM PROVIDER NUMBER
IN
05
201324390
IN
01
MD60475578
MEDICAL LICENSE
WA
Enumeration date
04/08/2011
Last updated
11/10/2015
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