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Organization
MADRONA MEDICAL GROUP, P.S.
Active
Organization
MADRONA MEDICAL GROUP, P.S.
Active
Other names
Madrona Endoscopy Suite
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY MELLOTT (DIRECTOR CLINICAL SERVICES)
(360) 738-2200
Entity
Organization
Contact information
Practice address
4545 CORDATA PKWY, BELLINGHAM, WA 98226-7123
(360) 738-2200
(360) 753-5673
Mailing address
4545 CORDATA PKWY, BELLINGHAM, WA 98226-7123
(360) 738-2200
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
601644971
WA
Other
Enumeration date
11/02/2005
Last updated
10/06/2008
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