Mutiny Bay Medical Pllc

NPI #1427378355 in Freeland, Washington

Provider Information

NPI Number: 1427378355
Entity Type: Organization
Organization Name: Mutiny Bay Medical Pllc
Primary Specialty: Family Medicine
Enumeration Date: Jun 2, 2010
Last Updated: Jun 2, 2010

Practice Location

Address: 5548 MYRTLE AVE STE 201
City: Freeland
State: Washington
ZIP Code: 98249-8776
Phone: (360) 331-3391

Authorized Official

Name: THOMAS HARRIS, DO
Title: PHYSICIAN
Phone: (360) 331-3391

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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