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NPI Code Detail

MEDICARE: DR. RODNEY JON KRATZ M.D.

MEDICARE:  DR. RODNEY JON KRATZ  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
1174400000XSpecialist01052061AIN
2208C00000XColon & Rectal Surgery PhysicianMD00041005WA

General Provider Information

NPI Number : 1982608253
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RODNEY JON KRATZ M.D.
Provider Business Mailing Address
First Line : 1101 MADISON ST
Second Line : SUITE 500
City : SEATTLE
State : WA
Zip : 98104-1306
Country : US
Telephone Number : 206-386-6600
Fax Number : 206-386-2452
Provider Business Practice Location Address
First Line : 1101 MADISON ST
Second Line : SUITE 500
City : SEATTLE
State : WA
Zip : 98104-1306
Country : US
Telephone Number : 206-386-6600
Fax Number : 206-386-2452
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2005
Last Update Date : 12/04/2007

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Directions to “ DR. RODNEY JON KRATZ M.D.” Practice Location

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