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NPI Code Detail

MEDICARE: DOUGLAS EDWARD HUTCHINSON M.D.

MEDICARE: DOUGLAS EDWARD HUTCHINSON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician1499AK

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100WCGRLDOTHERMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093982472
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOUGLAS EDWARD HUTCHINSON M.D.
Provider Business Mailing Address
First Line : 877 E GWINN PL
Second Line :
City : SEATTLE
State : WA
Zip : 98102-3811
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 877 E GWINN PL
Second Line :
City : SEATTLE
State : WA
Zip : 98102-3811
Country : US
Telephone Number : 907-455-6110
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2008
Last Update Date : 05/14/2008

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