Organization
PETER B SHELLEY MD PS
Active
Other names
Federal Way Eye & Laser Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DORIS L WILSON (OFFICE MANAGER)
(253) 838-6272
Entity
Organization
Contact information
Practice address
32123 1ST AVE S, SUITE A-3, FEDERAL WAY, WA 98003-5721
(253) 838-6272
(253) 874-2690
Mailing address
32123 1ST AVE S, SUITE A-3, FEDERAL WAY, WA 98003-5721
(253) 838-6272
(253) 874-2690
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
MD00018850
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1748805
—
WA
Enumeration date
02/26/2008
Last updated
02/26/2008
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