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1821086174

NPI Code Detail

MEDICARE: HARRY L TEICHER MD

MEDICARE: HARRY L TEICHER MD

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
1	207R00000X	Internal Medicine Physician	MD00032495	WA
2	207RG0100X	Gastroenterology Physician	MD00032495	WA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	100013975	OTHER	WA	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1514TE	OTHER	WA	REGENCE PROV #
4	2300720	OTHER	WA	AETNA
5	131375	OTHER	WA	L&I

General Provider Information

NPI Number	:	1821086174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARRY L TEICHER MD

Provider Business Mailing Address
First Line	:	PO BOX 25608
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84125-0608
Country	:	US
Telephone Number	:	206-320-4476
Fax Number	:	206-568-7043

Provider Business Practice Location Address
First Line	:	747 BROADWAY
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98122-4379
Country	:	US
Telephone Number	:	206-215-2520
Fax Number	:	206-215-6364

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	11/06/2021

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Directions to “ HARRY L TEICHER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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