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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
1207R00000XInternal Medicine PhysicianMD00032495WA
2207RG0100XGastroenterology PhysicianMD00032495WA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3100013975OTHERWARR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21514TEOTHERWAREGENCE PROV #
42300720OTHERWAAETNA
5131375OTHERWAL&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

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