Individual
DR. LOUIS I. JURAVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2412 N 43RD ST, SEATTLE, WA 98103-7644
(206) 250-8524
Mailing address
2412 N 43RD ST, SEATTLE, WA 98103-7644
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD00045030
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
197514
L&I PROVIDER NUMBER
WA
05
—
8214645
—
WA
Enumeration date
12/30/2005
Last updated
07/09/2007
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