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Individual

MR. EDWARD G PREVATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
(360) 428-2586
(360) 428-6470
Mailing address
648 NEWTON PL NW, APT 2, WASHINGTON, DC 20010-1737
(240) 533-1805

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD61223363
WA
2086S0102X
Surgical Critical Care Physician
MD61223363
WA

Other

Enumeration date
04/04/2015
Last updated
12/12/2024
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