| Western Wa Medical Group Dept Of Endocrinology | |
|
8423 Mukilteo Speedway Ste 102 Mukilteo WA 98275-3237 | |
| (425) 412-4311 | |
| (425) 374-8896 |
| Full Name | Western Wa Medical Group Dept Of Endocrinology |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 8423 Mukilteo Speedway Ste 102, Mukilteo, Washington |
| Authorized Official Name and Position | Amelia Edens (DIRECTOR OF PATIENT FINANCIAL SVCS) |
| Authorized Official Contact | 4257404142 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Wa Medical Group Dept Of Endocrinology 1728 W Marine View Dr Ste 110 Everett WA 98201-2094 Ph: (425) 412-4311 | Western Wa Medical Group Dept Of Endocrinology 8423 Mukilteo Speedway Ste 102 Mukilteo WA 98275-3237 Ph: (425) 412-4311 |
| NPI Number | 1902024300 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 08/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902024300 | NPI | - | NPPES |
| 7106347 | Medicaid | WA | |
| 0101673 | Other | WA | LABOR & INDUSTRY |
| DA4340 | Other | WA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 601474013 (Washington) | Primary |
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