Individual
PETAR JAMBORCIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
510 W 1ST AVE, TOPPENISH, WA 98948-1564
(509) 865-5600
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 258-3900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11074
NV
207R00000X
Internal Medicine Physician
Primary
MD60593879
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503746
—
NV
05
—
2050301
—
WA
Enumeration date
02/08/2006
Last updated
07/13/2023
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