Phd2 of Snohomish County

NPI #1013979624 in Edmonds, Washington

Provider Information

NPI Number: 1013979624
Entity Type: Organization
Organization Name: Phd2 of Snohomish County
Primary Specialty: Internal Medicine
Enumeration Date: Apr 6, 2006
Last Updated: Dec 10, 2007

Practice Location

Address: 7320 216TH ST SW
Address 2: SUITE 200
City: Edmonds
State: Washington
ZIP Code: 98026-8006
Phone: (425) 640-4901

Authorized Official

Name: MR. GARY L. WANGSMO
Title: CHIEF FINANCIAL OFFICER
Phone: (425) 640-4113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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