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12800 Bothell Everett Hwy Suite 160 Everett WA 98208-6644 | |
(425) 316-5490 | |
(425) 225-1002 |
Full Name | |
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Speciality | Internal Medicine - Cardiovascular Disease |
Location | 12800 Bothell Everett Hwy, Everett, Washington |
Authorized Official Name and Position | Donald Wayne Anderson (ASST SEC FOR ENROLLMENT/DIR REIMB) |
Authorized Official Contact | 4255255392 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 34439 Seattle WA 98124-1439 Ph: (425) 316-5439 | 12800 Bothell Everett Hwy Suite 160 Everett WA 98208-6644 Ph: (425) 316-5490 |
NPI Number | 1508000449 |
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Provider Enumeration Date | 04/22/2009 |
Last Update Date | 04/01/2021 |
Identifier | Type | State | Issuer |
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1508000449 | NPI | - | NPPES |
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