Western Washington Medical Group, Inc

NPI 1528370723 - Physician Assistant - 363AS0400X

NPI Details
NPI 1528370723
Enumeration Date 07/06/2010
Last Updated 07/06/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name JERRY JERRY
Position CEO
Phone (425) 317-9119
Fax (425) 317-9118
Practice Location
3726 BROADWAY STE 201
EVERETT WA, 98201-3788, US
Phone (425) 317-9119
Fax (425) 317-9118
Business Location
3726 BROADWAY STE 201
EVERETT WA, 98201-3788, US
Phone (425) 317-9119
Fax (425) 317-9118
Toxanomy
Taxonomy Code 363AS0400X
License State
License Number
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According to our database, Western Washington Medical Group, Inc NPI is 1528370723, taxonomy code is 363AS0400X Western Washington Medical Group, Inc physically located at 3726 Broadway Ste 201, Everett WA, 98201-3788. NPI Number 1033115704 has the healthcare provider type.

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1528370723 NPI number is provided on an as is basis without warranty of any kind. 1528370723 is maintained by the National Plan & Provider Enumeration System. The contents of Western Washington Medical Group, Inc are for informational purposes only.