Individual provider · NPI-1

Dr. Stanford H. Ackley, M.D.

Pediatrics, Pediatric Emergency Medicine · Seattle, WA

NPI number1275565137
StatusActive
Last updated in NPPESMay 12, 2010

Details

NPI
1275565137
Entity type
Individual (NPI-1)
Name
Dr. Stanford H. Ackley
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 7, 2006
Last updated
May 12, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0204X Pediatrics, Pediatric Emergency MedicineMD00048305WAYes

Practice location

4800 Sand Point Way Ne
Mailstop B-5520
Seattle, WA 98105-3901

Phone 206-987-2599

Mailing address

4800 Sand Point Way Ne
Mailstop B-5520
Seattle, WA 98105-3901

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