Catalpa Clinic | |
2528 Wheaton Way Ste 203 Bremerton WA 98310-3305 | |
(360) 362-0170 | |
(360) 995-0304 |
Full Name | Catalpa Clinic |
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Speciality | Clinic/Center |
Location | 2528 Wheaton Way Ste 203, Bremerton, Washington |
Authorized Official Name and Position | Bryan Edmund Wooldridge (FAMILY PHYSICIAN) |
Authorized Official Contact | 3603620170 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Catalpa Clinic 2528 Wheaton Way Ste 203 Bremerton WA 98310-3305 Ph: (360) 362-0170 | Catalpa Clinic 2528 Wheaton Way Ste 203 Bremerton WA 98310-3305 Ph: (360) 362-0170 |
NPI Number | 1881347706 |
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Provider Enumeration Date | 01/31/2022 |
Last Update Date | 12/05/2022 |
Medicare PECOS PAC ID | 2668843830 |
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Medicare Enrollment ID | O20230126000156 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881347706 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Bryan Wooldridge |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093153983 PECOS PAC ID: 8325266885 Enrollment ID: I20170809003331 |
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