Basic Information
Provider Information
NPI: 1316904568
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALPEROVICH
FirstName: CLAUDIO
MiddleName: GABRIEL
NamePrefix: DR.
NameSuffix:  
Credential: MD, FACS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 24604 104TH AVE SE
Address2: SUITE 201
City: KENT
State: WA
PostalCode: 980305385
CountryCode: US
TelephoneNumber: 2065925000
FaxNumber: 2068249510
Practice Location
Address1: 24604 104TH AVE SE
Address2: SUITE 201
City: KENT
State: WA
PostalCode: 980305385
CountryCode: US
TelephoneNumber: 2532208091
FaxNumber: 2532208092
Other Information
ProviderEnumerationDate: 04/28/2006
LastUpdateDate: 05/12/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000XMD0042121WAY Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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