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Individual

DR. PAUL ZAMORA SEVILLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6401 KIMBALL DRIVE, NW, STE 202, GIG HARBOR, WA 98335
(253) 858-9192
(253) 858-4330
Mailing address
6401 KIMBALL DRIVE, NW, STE 202, GIG HARBOR, WA 98335
(253) 858-9192
(253) 858-4330

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
A78182
CA
208800000X
Urology Physician
Primary
MD00048744
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A78120
CA
01
0224050
STATE L&I
WA
01
0224051
STATE L&I
WA
01
0224716
STATE L&I
WA
01
0225685
STATE L&I
WA
01
0226773
STATE L&I
WA
01
8945364
STATE CRIME VICTIMS
WA
05
8945364
WA
01
P00467951
MEDICARE RAILROAD
WA
Enumeration date
07/09/2006
Last updated
04/15/2009
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