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Individual

ANNE E TUTTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
11695 NE 4TH ST, BELLEVUE, WA 98004-5268
(425) 637-1855
(206) 344-7970
Mailing address
11695 NE 4TH ST, BELLEVUE, WA 98004-5268
(425) 637-1855
(206) 344-7970

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00039897
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0039581
LABOR & INDUSTRY
WA
01
5167TU
BLUE SHIELD
WA
05
8286650
WA
01
MD7566W
ALASKA MEDICAID
WA
01
US0083039
AETNA/USHC PCP
WA
01
US2551195
AETNA/USHC SPECIALIST
WA
Enumeration date
07/14/2006
Last updated
07/23/2020
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