MR. Jonathan Kaiser Ploudre, M.D.

NPI #1104827435 in Mount Vernon, Washington

Provider Information

NPI Number: 1104827435
Entity Type: Individual
Name: MR. Jonathan Kaiser Ploudre, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Aug 9, 2005
Last Updated: Feb 25, 2011

Practice Location

Address: 2116 EAST SECTION STREET
City: Mount Vernon
State: Washington
ZIP Code: 98274-9124
Phone: (360) 428-1700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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