Basic Information
| Provider Information | |||||||||
| NPI: | 1770699159 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | CHRISTAL | ||||||||
| FirstName: | ARIC | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 805 MADISON ST | ||||||||
| Address2: | SUITE 901 | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981041172 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2062648100 | ||||||||
| FaxNumber: | 2062648689 | ||||||||
| Practice Location | |||||||||
| Address1: | 7320 216TH ST SW | ||||||||
| Address2: | SUITE 320 | ||||||||
| City: | EDMONDS | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980268006 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4256733900 | ||||||||
| FaxNumber: | 4256733910 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/21/2006 | ||||||||
| LastUpdateDate: | 09/02/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | ML20008199 | WA | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207X00000X | 2010-00363 | NC | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207XS0114X | MD60217236 | WA | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Adult Reconstructive Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | NC1096 | 05 | SC | MEDICAID | 5914257 | 05 | NC | MEDICAID |