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Individual

EDWARD C VINCENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
401 BROADWAY, SEATTLE, WA 98122-2499
(206) 744-8274
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00023705
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1942369467
WA
Enumeration date
12/08/2006
Last updated
02/29/2016
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