Basic Information
| Provider Information | |||||||||
| NPI: | 1053523654 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SATTLER | ||||||||
| FirstName: | SCOTT | ||||||||
| MiddleName: | CLAYTON | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6100 219TH ST SW | ||||||||
| Address2: | SUITE 290 | ||||||||
| City: | MOUNTLAKE TERRACE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980432222 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4257760880 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6100 219TH ST SW | ||||||||
| Address2: | SUITE 290 | ||||||||
| City: | MOUNTLAKE TERRACE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980432222 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4257760880 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/04/2007 | ||||||||
| LastUpdateDate: | 01/15/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2086S0122X | MD000037832 | WA | Y | Allopathic & Osteopathic Physicians | Surgery | Plastic and Reconstructive Surgery |
No ID Information.