Organization
MADRONA MEDICAL GROUP,PS
Active
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
Mailing address
4545 CORDATA PKWY, BELLINGHAM, WA 98226-7123
(360) 738-2200
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
WA
Other
Enumeration date
10/11/2006
Last updated
03/25/2008
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