NPI 1013185446

Matthew D. Haggerty, LMP

Practitioner Specialist Seattle, WA

Practice location

Address: 1605 12th Ave Suite #1, Seattle, WA 98122-2467
Phone: (206) 860-7282

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence MA00004064 (WA)

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Registry record

NPI: 1013185446
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Feb 2008
Record last updated: 19 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.