Individual provider · NPI-1

Alisa J. Blitz-Seibert, M.D.

Family Medicine · Bremerton, WA

NPI number1770630535
StatusActive
Last updated in NPPESFeb 13, 2017

Details

NPI
1770630535
Entity type
Individual (NPI-1)
Name
Alisa J. Blitz-Seibert
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jan 4, 2007
Last updated
Feb 13, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMD00045992WAYes

Practice location

8042 Nw Wildcat Lake Rd
Bremerton, WA 98312-9571

Phone 360-204-4054

Mailing address

1100 Wheaton Way
Suite F&G
Bremerton, WA 98310-4459

Phone 360-621-2696 · Fax 844-602-4646

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