Healthcare Provider Details

I. General information

NPI: 1417947078
Provider Name (Legal Business Name): GEORGE D SOLTES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2005
Last Update Date: 01/08/2020
Certification Date: 01/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST BOX357115-RR215
SEATTLE WA
98195-0001
US

IV. Provider business mailing address

1959 NE PACIFIC ST BOX357115-RR215
SEATTLE WA
98195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 206-598-1454
  • Fax: 206-598-6406
Mailing address:
  • Phone: 206-598-1454
  • Fax: 206-598-6406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberMD00031773
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: