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Individual

PAUL W HILDEBRAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11315 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-3004
(253) 589-8700
(253) 581-6588
Mailing address
505 S 336TH STREET, SUITE 600, FEDERAL WAY, WA 98003-6328
(800) 336-8614
(253) 838-6418

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00022755
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0171937
LIWA
WA
01
0171938
LIWA
WA
01
1186HI
BSWA
WA
01
2164HI
BSWA
WA
05
8207250
WA
Enumeration date
06/14/2006
Last updated
05/20/2008
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