Healthcare Provider Details

I. General information

NPI: 1972506657
Provider Name (Legal Business Name): ALAN D BARRONIAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 09/28/2023
Certification Date: 09/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16259 SYLVESTER RD SW STE 501
BURIEN WA
98166-3059
US

IV. Provider business mailing address

16259 SYLVESTER RD SW STE 501
BURIEN WA
98166-3059
US

V. Phone/Fax

Practice location:
  • Phone: 206-243-1100
  • Fax: 206-431-0835
Mailing address:
  • Phone: 206-243-1100
  • Fax: 206-431-0835

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD00027983
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: