Scot Bacon Athair, LPM

NPI #1710160544 in Port Angeles, Washington

Provider Information

NPI Number: 1710160544
Entity Type: Individual
Name: Scot Bacon Athair, LPM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LPM
Enumeration Date: Dec 15, 2007
Last Updated: Dec 15, 2007

Practice Location

Address: 1111 E FRONT ST
City: Port Angeles
State: Washington
ZIP Code: 98362-4307
Phone: (360) 452-3017

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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