Individual
JEFFREY M CORTAZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34515 9TH AVE S, SUITE 600, FEDERAL WAY, WA 98003-6761
(253) 952-7971
(253) 944-7922
Mailing address
505 S 336TH ST, SUITE 600, FEDERAL WAY, WA 98003-6328
(253) 838-6180
(253) 838-6418
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00030382
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0170833
LIWA
WA
05
—
8144271
—
WA
01
—
CO5771
BSWA
WA
Enumeration date
06/09/2006
Last updated
05/23/2008
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