Caribou Trail Professional Medical Group

NPI #1316123581 in Brewster, Washington

Provider Information

NPI Number: 1316123581
Entity Type: Organization
Organization Name: Caribou Trail Professional Medical Group
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Jan 17, 2008
Last Updated: Nov 10, 2014

Practice Location

Address: 520 W INDIAN AVE
City: Brewster
State: Washington
ZIP Code: 98812-0220
Phone: (509) 826-1760

Authorized Official

Name: MR. MICHAEL D. BILLING
Title: ADMINISTRATOR
Phone: (509) 826-1760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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