Individual provider · NPI-1

David Al Acosta

Family Medicine · Seattle, WA

NPI number1780764761
StatusActive
Last updated in NPPESOct 17, 2007

Details

NPI
1780764761
Entity type
Individual (NPI-1)
Name
David Al Acosta
Sex
Male
Sole proprietor
No
Enumeration date
Oct 16, 2006
Last updated
Oct 17, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMD00026742WAYes

Practice location

Uwmc-Roosevelt
4245 Roosevelt Way Ne
Seattle, WA 98105-4770

Phone 206-598-4055

Mailing address

Po Box 50095
Seattle, WA 98145-5095

Phone 206-543-6420

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