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Organization
HEALOGICS SPECIALTY PHYSICIANS OF WASHINGTON, PLLC
Active
Organization
HEALOGICS SPECIALTY PHYSICIANS OF WASHINGTON, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLEEN ISE MD (OWNER/PRESIDENT)
(855) 689-5105
Entity
Organization
Contact information
Practice address
800 W 5TH AVE, SPOKANE, WA 99204-2803
(904) 446-3451
Mailing address
5220 BELFORT RD, SUITE 130, JACKSONVILLE, FL 32256-6017
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
10/06/2015
Last updated
03/03/2020
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