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Organization
KITSAP INTERNAL MEDICINE ASSOCIATES, INC, P.S.
Active
Organization
KITSAP INTERNAL MEDICINE ASSOCIATES, INC, P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL M AXTMAN (MANAGER)
(360) 377-8571
Entity
Organization
Contact information
Practice address
2601 CHERRY AVE, SUITE 315, BREMERTON, WA 98310-4203
(360) 377-8571
(360) 792-1608
Mailing address
2601 CHERRY AVE, SUITE 315, BREMERTON, WA 98310-4203
(360) 377-8571
(360) 792-1608
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
600150638
WA
Other
Enumeration date
03/14/2006
Last updated
01/15/2010
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