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302 36th St Bellingham WA 98225-6580 | |
| (360) 526-2124 | |
| (360) 933-4046 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 302 36th St, Bellingham, Washington |
| Authorized Official Name and Position | Brent Whitehead (MD/OWNER) |
| Authorized Official Contact | 3605262124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
302 36th St Bellingham WA 98225-6580 Ph: (360) 526-2124 | 302 36th St Bellingham WA 98225-6580 Ph: (360) 526-2124 |
| NPI Number | 1932551280 |
|---|---|
| Provider Enumeration Date | 07/11/2016 |
| Last Update Date | 07/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932551280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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