is a Surgery in Wenatchee, Washington. practices all healthcare services and medical treatments related to Surgery. The NPI Number for is 1588821524. The last update date is .
's current location address is 820 N Chelan Ave, Wenatchee, Washington. You can contact this provider via phone number 5096638711. The mailing address for is 820 N Chelan Ave, Wenatchee, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 820 N Chelan Ave, Wenatchee, Washington |
Phone Number | 5096638711 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1588821524 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 820 N Chelan Ave |
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City | Wenatchee |
State | Washington (WA) |
Post Code | 988012028 |
Phone Number | 5096638711 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Surgery |
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Taxonomy | 208600000X |
Licence No | 6360310-1205 |
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1588821524 | WA | -- | |
P01011008 | WA | RR MEDICARE | |
283070 | WA | L&I |
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