DR. Michael Ashton Theobald, M.D.

NPI #1821047556 in Edmonds, Washington

Provider Information

NPI Number: 1821047556
Entity Type: Individual
Name: DR. Michael Ashton Theobald, M.D.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: May 9, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 21601 76TH AVE W
City: Edmonds
State: Washington
ZIP Code: 98026-7507
Phone: (425) 640-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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