| Everett Infectious Diseases, Pllc | |
|
717 Nw 190th Ln Shoreline WA 98177-3055 | |
| (206) 334-0589 | |
| Not Available |
| Full Name | Everett Infectious Diseases, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 717 Nw 190th Ln, Shoreline, Washington |
| Authorized Official Name and Position | George A Diaz (PRESIDENT) |
| Authorized Official Contact | 2063340589 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Everett Infectious Diseases, Pllc Po Box 143 Edmonds WA 98020-0143 Ph: () - | Everett Infectious Diseases, Pllc 717 Nw 190th Ln Shoreline WA 98177-3055 Ph: (206) 334-0589 |
| NPI Number | 1679961130 |
|---|---|
| Provider Enumeration Date | 01/06/2015 |
| Last Update Date | 02/12/2015 |
| Medicare PECOS PAC ID | 4880919083 |
|---|---|
| Medicare Enrollment ID | O20150211000108 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679961130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | MD00043980 (Washington) | Primary |
| Provider Name | George A Diaz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164523130 PECOS PAC ID: 6901841956 Enrollment ID: I20050621000912 |
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