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Organization

RED KNIGHT CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILBERT DANIEL JAMES MD (FOUNDER)
(360) 466-8842
Entity
Organization

Contact information

Practice address
345 MOKO PL, LA CONNER, WA 98257-9535
(360) 466-8842
Mailing address
345 MOKO PL, LA CONNER, WA 98257-9535
(360) 466-8842

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
04/16/2025
Last updated
06/25/2025
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