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ANGELA DIAMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2200 NW MYHRE RD, SILVERDALE, WA 98383-7681
(360) 830-1246
(360) 830-1289
Mailing address
9621 RIDGETOP BLVD NW, SILVERDALE, WA 98383-8502
(360) 830-1246

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD00031374
WA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD00031374
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000530
WA
01
275079
LABOR & INDUSTRIES
WA
Enumeration date
06/26/2006
Last updated
02/10/2022
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