Provider Demographics
NPI:1215040571
Name:FILLIPO, DREW C (MD)
Entity Type:Individual
Prefix:DR
First Name:DREW
Middle Name:C
Last Name:FILLIPO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10330 MERIDIAN AVE S
Mailing Address - Street 2:SUITE #210
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133
Mailing Address - Country:US
Mailing Address - Phone:206-368-6080
Mailing Address - Fax:206-368-6088
Practice Address - Street 1:10330 MERIDIAN AVE S
Practice Address - Street 2:SUITE #210
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133
Practice Address - Country:US
Practice Address - Phone:206-368-6080
Practice Address - Fax:206-368-6088
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2012-09-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WA00029925208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1096940Medicaid