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Individual

NICHOLAS JOHN VAUDREUIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1100 PACIFIC AVE STE 300, EVERETT, WA 98201-4261
(425) 339-2433
(425) 339-8273
Mailing address
1100 PACIFIC AVE STE 300, EVERETT, WA 98201-4261
(425) 339-2433
(425) 339-8273

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A167460
CA
207X00000X
Orthopaedic Surgery Physician
MD61154921
WA
207X00000X
Orthopaedic Surgery Physician
MT206268
PA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
61154921
WA

Other

Enumeration date
06/25/2014
Last updated
07/29/2021
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