Western Washington Cardiology Trust

NPI 1538435615 - Internal Medicine - 207RC0000X

NPI Details
NPI 1538435615
Enumeration Date 03/22/2012
Last Updated 03/22/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name CHARLES WILLIAM CHARLES
Position CEO
Phone (360) 336-9757
Fax
Practice Location
307 S 13TH ST
SUITE 300
MOUNT VERNON WA, 98274-4100, US
Phone (360) 336-9757
Fax
Business Location
12728 19TH AVE SE
SUITE 200
EVERETT WA, 98208-6526, US
Phone (425) 525-2700
Fax (425) 525-2790
Toxanomy
Taxonomy Code 207RC0000X
License State
License Number
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According to our database, Western Washington Cardiology Trust NPI is 1538435615, taxonomy code is 207RC0000X Western Washington Cardiology Trust physically located at 307 S 13th St, Mount Vernon WA, 98274-4100. NPI Number 1033115704 has the healthcare provider type.

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1538435615 NPI number is provided on an as is basis without warranty of any kind. 1538435615 is maintained by the National Plan & Provider Enumeration System. The contents of Western Washington Cardiology Trust are for informational purposes only.