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Physicians Internal Medicine

Provider NPI: 1639166119

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
515 MINOR AVE SUITE 300 SEATTLE, WA 98104-2120 US
Tel: 206-386-9500  Fax: 206-386-9605

Business Mailing Address:
PO BOX 3489  SEATTLE, WA 98114-3489 US
Tel: 206-386-9500  Fax: 206-386-9605

NPI Information:
NPI: 1639166119
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Internal Medicine

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207R00000X





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