Grady R Hartzog III MD

NPI 1023039062 - Radiology - 2085R0202X

NPI Details
NPI 1023039062
Gender Male
Enumeration Date 07/23/2006
Last Updated 04/10/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
1100 9TH AVE
SEATTLE WA, 98101-2756, US
Phone (206) 223-6600
Fax
Business Location
1100 OLIVE WAY MSC M4-PA
SEATTLE WA, 98101-1873, US
Phone
Fax
Toxanomy
Taxonomy Code 2085R0202X
License State Washington
License Number MD00033711
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According to our database, Grady R Hartzog III MD NPI is 1023039062, taxonomy code is 2085R0202X and license number is MD00033711, license state is located at Washington. Grady R Hartzog III MD physically located at 1100 9th Ave, Seattle WA, 98101-2756. NPI Number Grady R Hartzog III MD has the Individual type.

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1023039062 NPI number is provided on an as is basis without warranty of any kind. 1023039062 is maintained by the National Plan & Provider Enumeration System. The contents of Grady R Hartzog III MD are for informational purposes only.