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Individual

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Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4800 SAND POINT WAY NE, MB.11.500, SEATTLE, WA 98105
(206) 987-5837
Mailing address
4800 SAND POINT WAY NE, MB.11.500, SEATTLE, WA 98105
(206) 987-5837

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD60766831
WA

Other

Enumeration date
04/28/2014
Last updated
09/06/2019
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