Organization
WHIDBEY ISLAND INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE WHITNEY ROOF MD (OWNER)
(360) 678-4440
Entity
Organization
Contact information
Practice address
77 N MAIN ST, COUPEVILLE, WA 98239-9556
(360) 678-4440
(360) 678-9244
Mailing address
PO BOX 746, COUPEVILLE, WA 98239-9556
(360) 678-4440
(360) 678-9244
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7094352
—
WA
Enumeration date
06/19/2006
Last updated
01/18/2013
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