Individual
DR. STEVEN PERGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 EASTLAKE AVE E, SEATTLE, WA 98109-4405
(206) 667-6702
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD00045317
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0249968
LABOR & INDUSTRIES
WA
05
—
8541963
—
WA
Enumeration date
07/30/2006
Last updated
09/23/2009
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