Organization
MADRONA FAMILY MEDICINE, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE WALLACE STOWE M.D. (PRESIDENT)
(360) 440-6220
Entity
Organization
Contact information
Practice address
740 QUINCY ST, PORT TOWNSEND, WA 98368-5525
(360) 440-6220
Mailing address
PO BOX 1212, PORT TOWNSEND, WA 98368-0912
(360) 440-6220
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00031142
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8232886
—
WA
Enumeration date
07/02/2007
Last updated
09/06/2013
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