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1215147947
STANLEY R RIDDELL
SEATTLE, WA
NPI
1215147947
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RX0202X Internal Medicine, Medical Oncology
(Licence: WA MD00023567)
Enumeration Date
2007-05-23
Last Update Date
2007-08-02
Business Address
-- STANLEY R RIDDELL MD
1959 NE PACIFIC ST
SEATTLE, WA 98195-0001
Phone number: 206-667-5249
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Mailing Address
-- STANLEY R RIDDELL MD
PO BOX 50095
SEATTLE, WA 98145-5095
Phone number: 206-543-6420
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