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 | |
|---|---|
| Address | 820 N Chelan Ave, Wenatchee, Washington |
| Phone Number | 5096638711 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1588821524 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 820 N Chelan Ave |
|---|---|
| City | Wenatchee |
| State | Washington (WA) |
| Post Code | 988012028 |
| Phone Number | 5096638711 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| 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; |
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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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