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Physicians Pediatrics Pediatric Emergency Medicine

Provider NPI: 1720178619

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
Tel: 206-987-2000  Fax: --

Business Mailing Address:
4500 SAND POINT WAY NE #100 SEATTLE, WA 98105-3900 US
Tel: --  Fax: --

NPI Information:
NPI: 1720178619
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Pediatric Emergency Medicine

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 2080P0204X





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