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Organization
SEDRO WOOLLEY FAMILY MEDICINE PLLC
Active
Organization
SEDRO WOOLLEY FAMILY MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENIS A HARLOCK MD (PRINCIPAL OFFICER)
(360) 855-1411
Entity
Organization
Contact information
Practice address
830 BALL ST, SEDRO WOOLLEY, WA 98284-2008
(360) 855-1411
(360) 855-1933
Mailing address
PO BOX 450, SEDRO WOOLLEY, WA 98284-0450
(360) 855-1411
(360) 855-1933
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00013149
WA
207Q00000X
Family Medicine Physician
MD00041814
WA
Other
Enumeration date
01/23/2007
Last updated
08/22/2020
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