Individual
ADAM WHALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
560 LEBO BLVD, BREMERTON, WA 98310-2617
(360) 479-1515
Mailing address
560 LEBO BLVD, BREMERTON, WA 98310-2617
(360) 479-1515
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT60309337
WA
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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