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Organization
EYE AND EAR CLINIC OF WENATCHEE INC PS
Active
Organization
EYE AND EAR CLINIC OF WENATCHEE INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ED P TAYLOR (ADMINISTRATOR)
(509) 662-7143
Entity
Organization
Contact information
Practice address
933 RED APPLE RD, SUITE 100, WENATCHEE, WA 98801-3370
(509) 662-7143
(509) 665-4301
Mailing address
PO BOX 3027, WENATCHEE, WA 98807-3027
(509) 662-7143
(509) 665-4301
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
NULL
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2017010
—
WA
Enumeration date
11/09/2005
Last updated
08/22/2020
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