Alexandr Chatilo, Md, Pllc

NPI 1114296670 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1114296670
Enumeration Date 12/29/2011
Last Updated 12/29/2011
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name ALEXANDR IVANOVICH ALEXANDR
Position PROVIDER
Phone (206) 366-5379
Fax
Practice Location
18526 FREMONT AVE N
SHORELINE WA, 98133-3821, US
Phone (206) 366-5379
Fax
Business Location
18526 FREMONT AVE N
SHORELINE WA, 98133-3821, US
Phone (206) 366-5379
Fax
Toxanomy
Taxonomy Code 208100000X
License State Washington
License Number MD00044546
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According to our database, Alexandr Chatilo, Md, Pllc NPI is 1114296670, taxonomy code is 208100000X and license number is MD00044546, license state is located at Washington. Alexandr Chatilo, Md, Pllc physically located at 18526 Fremont Ave N, Shoreline WA, 98133-3821. NPI Number 1033115704 has the healthcare provider type.

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1114296670 NPI number is provided on an as is basis without warranty of any kind. 1114296670 is maintained by the National Plan & Provider Enumeration System. The contents of Alexandr Chatilo, Md, Pllc are for informational purposes only.