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Individual

SIBEL BLAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2920 SOUTH MERIDIAN, SUITE 100, PUYALLUP, WA 98373-1428
(253) 841-4296
(253) 841-2435
Mailing address
1624 SOUTH I STREET, SUITE 305, TACOMA, WA 98405-5093
(253) 428-8700
(253) 383-3376

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD00037666
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
152929
L & I
05
8281875
WA
Enumeration date
10/06/2005
Last updated
08/01/2012
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