Organization
HERBERT KLOSS, M.D. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERBERT KLOSS M.D. (OWNER)
(253) 375-6937
Entity
Organization
Contact information
Practice address
5057 84TH AVE SE, MERCER ISLAND, WA 98040-4617
(253) 375-6937
Mailing address
5057 84TH AVE SE, MERCER ISLAND, WA 98040-4617
(253) 375-6937
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009631
—
WA
Enumeration date
01/09/2012
Last updated
01/09/2012
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