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Organization

LEWIS COUNTY EMERGENCY PHYSICIANS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOUGLAS HAYDEN MD (PRESIDENT)
(800) 962-3303
Entity
Organization

Contact information

Practice address
914 S SCHEUBER RD, CENTRALIA, WA 98531-9027
(360) 748-4444
Mailing address
167 GOLD CREEK DR, CHEHALIS, WA 98532-9000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7064744
WA
Enumeration date
07/07/2006
Last updated
04/29/2010
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