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Individual

DR. IAN HARM DE BOER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195
(206) 543-3792
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD00041174
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1932146669
WA
Enumeration date
06/01/2006
Last updated
09/11/2014
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