Organization
PACIFIC DIABETES AND WEIGHT LOSS SURGERY PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER MEDLIN MD (DOCTOR/OWNER)
(360) 671-9877
Entity
Organization
Contact information
Practice address
2940 SQUALICUM PKWY, SUITE 101, BELLINGHAM, WA 98225-1892
(360) 671-9877
Mailing address
PO BOX 2791, BELLINGHAM, WA 98227-2791
(360) 671-9877
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
10/20/2010
Last updated
11/01/2010
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