Organization
GRAYS HARBOR PEDIATRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGARDO C MAGSALAY M.D. (MEMBER)
(360) 533-7677
Entity
Organization
Contact information
Practice address
611 N F ST, SUITE 201, ABERDEEN, WA 98520-2667
(360) 533-7677
(360) 533-0470
Mailing address
611 N F ST, SUITE 201, ABERDEEN, WA 98520-2667
(360) 533-7677
(360) 533-0470
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7131519
—
WA
Enumeration date
01/24/2007
Last updated
07/19/2011
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