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Organization

PETER B SHELLEY MD PS

Active
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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
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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