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Organization
MUTINY BAY MEDICAL PLLC
Active
Organization
MUTINY BAY MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS HARRIS DO (PHYSICIAN)
(360) 331-3391
Entity
Organization
Contact information
Practice address
5548 MYRTLE AVE STE 201, FREELAND, WA 98249-8776
(360) 331-3391
Mailing address
5548 MYRTLE AVE STE 201, FREELAND, WA 98249-8776
(360) 331-3391
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00001446
WA
Other
Enumeration date
06/02/2010
Last updated
06/02/2010
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