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Organization
WHITMAN MEDICAL GROUP PS
Active
Organization
WHITMAN MEDICAL GROUP PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN JAMES HYMAS (ADMINISTRATOR)
(509) 397-4717
Entity
Organization
Contact information
Practice address
1210 W FAIRVIEW ST, COLFAX, WA 99111-9552
(509) 397-4717
(509) 397-3501
Mailing address
1210 W FAIRVIEW ST, COLFAX, WA 99111-9552
(509) 397-4717
(509) 397-3501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0946290001
PTAN
WA
05
—
7062987
—
WA
Enumeration date
09/22/2006
Last updated
12/11/2008
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